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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