Organization
TIMOTHY S. KULIK D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY SIGMUND KULIK D.D.S. (OFFICER)
(574) 288-1900
Entity
Organization
Contact information
Practice address
211 N SAINT PETER ST, SOUTH BEND, IN 46617-2823
(574) 288-1900
(574) 288-3900
Mailing address
211 N SAINT PETER ST, SOUTH BEND, IN 46617-2823
(574) 288-1900
(574) 288-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007358
IN
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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