Individual
DR. MARK DAVID KRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13300 S WEST BAY SHORE DR STE 1, TRAVERSE CITY, MI 49684-5571
(231) 946-0207
Mailing address
8866 MANHATTAN N, TRAVERSE CITY, MI 49685-5823
(231) 218-3944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022619
MI
Other
Enumeration date
05/21/2018
Last updated
11/26/2019
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