Organization
EDWARD G KROLL,DDS AND ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD G KROLL DDS (PESIDENT)
(313) 891-8088
Entity
Organization
Contact information
Practice address
3704 E 8 MILE RD, DETROIT, MI 48234-1007
(313) 891-8088
(313) 891-8333
Mailing address
3704 E 8 MILE RD, DETROIT, MI 48234-1007
(313) 891-8088
(313) 891-8333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8536
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4015745
—
MI
Enumeration date
08/14/2006
Last updated
08/22/2020
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