Organization
DANIEL A. KRUSE, D.D.S., M.S.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A. KRUSE D.D.S., M.S.D. (PRESIDENT)
(616) 656-4155
Entity
Organization
Contact information
Practice address
6208 KALAMAZOO AVE SE, KENTWOOD, MI 49508-7022
(616) 656-4155
(616) 656-4156
Mailing address
6208 KALAMAZOO AVE SE, KENTWOOD, MI 49508-7022
(616) 656-4155
(616) 656-4156
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901015087
MI
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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