| Thomas Krull DDS PC | |
|
6320 West 159th Street Suite B Oak Forest IL 60452 | |
| (708) 687-0880 | |
| Not Available |
| Full Name | Thomas Krull DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 6320 West 159th Street, Oak Forest, Illinois |
| Authorized Official Name and Position | Thomas Bernard Krull (PRESIDENT) |
| Authorized Official Contact | 7086870880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Krull DDS PC 6320 West 159th Street Suite B Oak Forest IL 60452 Ph: (708) 687-0880 | Thomas Krull DDS PC 6320 West 159th Street Suite B Oak Forest IL 60452 Ph: (708) 687-0880 |
| NPI Number | 1205913233 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205913233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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