Organization
MICHAEL J. KROL D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH KROL D.D.S. (PRESIDENT)
(815) 943-5939
Entity
Organization
Contact information
Practice address
710 W BRINK ST, HARVARD, IL 60033-2720
(815) 943-5939
Mailing address
710 W BRINK ST, HARVARD, IL 60033-2720
(815) 943-5939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019019140
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019-019140
DENTAL LICENSE 019-019140
IL
Enumeration date
04/22/2008
Last updated
04/22/2008
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