Individual
DR. TED C KAWULOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1400 28TH ST, SUITE 4, BOULDER, CO 80303-1096
(303) 442-8625
Mailing address
1400 28TH ST, SUITE 4, BOULDER, CO 80303-1096
(303) 442-8625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5541
CO
Other
Enumeration date
08/23/2005
Last updated
07/08/2007
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