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Individual

DR. JOHN KULAGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1221 DUNLAWTON AVE, PORT ORANGE, FL 32127-8950
(386) 304-1181
Mailing address
1221 DUNLAWTON AVE, PORT ORANGE, FL 32127-8950
(386) 304-1181

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18671
FL
332B00000X
Durable Medical Equipment & Medical Supplies
DN18671
FL

Other

Enumeration date
08/19/2009
Last updated
09/12/2018
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