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Organization

TED C. KAWULOK D.D.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TED C KAWULOK DDS (OWNER)
(303) 442-8625
Entity
Organization

Contact information

Practice address
1400 28TH ST, SUITE 4, BOULDER, CO 80303-1096
(303) 442-8625
(303) 541-9867
Mailing address
1400 28TH ST, SUITE 4, BOULDER, CO 80303-1096
(303) 442-8625
(303) 541-9867

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5541
CO

Other

Enumeration date
05/11/2015
Last updated
05/11/2015
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