Organization
MARK D. KRULL DDS PLLC
Active
Other names
Harborside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID KRULL DDS (OWNER)
(231) 218-3944
Entity
Organization
Contact information
Practice address
13300 S WEST BAY SHORE DR STE 1, TRAVERSE CITY, MI 49684-5571
(231) 946-0207
Mailing address
13300 S WEST BAY SHORE DR STE 1, TRAVERSE CITY, MI 49684-5571
(231) 946-0207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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