| Daniel A. Kruse, D.d.s., M.s.d | |
|
6208 Kalamazoo Ave Se Kentwood MI 49508-7022 | |
| (616) 656-4155 | |
| (616) 656-4156 |
| Full Name | Daniel A. Kruse, D.d.s., M.s.d |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6208 Kalamazoo Ave Se, Kentwood, Michigan |
| Authorized Official Name and Position | Daniel A. Kruse (PRESIDENT) |
| Authorized Official Contact | 6166564155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel A. Kruse, D.d.s., M.s.d 6208 Kalamazoo Ave Se Kentwood MI 49508-7022 Ph: (616) 656-4155 | Daniel A. Kruse, D.d.s., M.s.d 6208 Kalamazoo Ave Se Kentwood MI 49508-7022 Ph: (616) 656-4155 |
| NPI Number | 1932327707 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932327707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2901015087 (Michigan) | Primary |
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