Krull, Mark David
Krull, Mark David is an individual health care provider with primary practice located at 13300 S West Bay Shore Dr Ste 1 , Traverse City MI 49684-5571. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Krull, Mark David can be contacted via phone (231) 946-0207.Contact Information
Primary practice address
13300 S West Bay Shore Dr Ste 1
Traverse City MI 49684-5571
Phone: (231) 946-0207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901022619 | Michigan |
Profile Details
| NPI number | 1902397425 |
|---|---|
| LBN Legal business name | Krull, Mark David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2018 |
| Last updated | Nov 26th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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