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Organization
POWW SLEEP, PLLC
Active
Organization
POWW SLEEP, PLLC
Active
Other names
White Wolf Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KULAGA DDS (OWNER)
(386) 304-1181
Entity
Organization
Contact information
Practice address
1221 DUNLAWTON AVE STE 100, PORT ORANGE, FL 32127-8930
(386) 304-1181
(386) 304-6401
Mailing address
1221 DUNLAWTON AVE STE 100, PORT ORANGE, FL 32127-8930
(386) 304-1181
(386) 304-6401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DN18671
FL
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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