Organization
BENNETT J. VACULIK, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNETT J. VACULIK DDS (PRESIDENT)
(903) 885-7726
Entity
Organization
Contact information
Practice address
620 CHURCH ST, SULPHUR SPRINGS, TX 75482-2689
(903) 885-7726
(903) 885-1698
Mailing address
620 CHURCH ST, SULPHUR SPRINGS, TX 75482-2689
(903) 885-7726
(903) 885-1698
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12250
TX
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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