| 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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