Individual
MR. THEODORE JOHN KULA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12012170A
IN
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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