| NPI | 1891455267 |
|---|---|
| Doing Business As | HARBORSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK DAVID KRULL Owner 231-218-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |