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Organization
SULPHUR SPRINGS CHILDREN'S DENTISTRY
Active
Organization
SULPHUR SPRINGS CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNETT JOE VACULIK DDS (MANAGING PARTNER)
(903) 243-4790
Entity
Organization
Contact information
Practice address
226 MAIN ST, SULPHUR SPRINGS, TX 75482-2707
(903) 558-1260
(903) 558-1262
Mailing address
226 MAIN ST, SULPHUR SPRINGS, TX 75482-2707
(903) 558-1260
(903) 558-1262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/02/2023
Last updated
03/14/2023
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