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Individual

DR. BOGDAN MICHAEL KULIKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
15215 S 48TH STREET, SUITE #158, PHOENIX, AZ 85044-9139
(480) 598-3006
(480) 598-1184
Mailing address
15215 S 48TH STREET, SUITE #158, PHOENIX, AZ 85044-9139
(480) 598-3006
(480) 598-1184

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D 3765 OS
ID
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6136
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE00006802
WA

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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