Harborside Dental Pllc | |
13300 S West Bay Shore Dr Ste 1 Traverse City MI 49684-5571 | |
(231) 946-0207 | |
Not Available |
Full Name | Harborside Dental Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 13300 S West Bay Shore Dr Ste 1, Traverse City, Michigan |
Authorized Official Name and Position | Mark David Krull (PARTNER) |
Authorized Official Contact | 2319460207 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harborside Dental Pllc 13300 S West Bay Shore Dr Ste 1 Traverse City MI 49684-5571 Ph: (231) 946-0207 | Harborside Dental Pllc 13300 S West Bay Shore Dr Ste 1 Traverse City MI 49684-5571 Ph: (231) 946-0207 |
NPI Number | 1114563012 |
---|---|
Provider Enumeration Date | 11/26/2019 |
Last Update Date | 11/26/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114563012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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