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Individual

DR. GREGORY JACOB TULACHKA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
814 CLAY ST, DARLINGTON, WI 53530-1228
(608) 776-4471
(608) 776-4311
Mailing address
119 NINA DR, DARLINGTON, WI 53530-1607
(608) 776-4650

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
3145-015
WI

Other

Enumeration date
09/09/2005
Last updated
07/08/2007
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