Individual
DR. DAVID JOHN MIKULENCAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1615 FOREST TRL, TEMPLE, TX 76502-2715
(254) 778-6440
(254) 778-6499
Mailing address
1615 FOREST TRL, TEMPLE, TX 76502-2715
(254) 778-6440
(254) 778-6499
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10727
TX
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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