| Bennett J. Vaculik, D.d.s.,p.c. | |
|
620 Church St Sulphur Springs TX 75482-2689 | |
| (903) 885-7726 | |
| (903) 885-1698 |
| Full Name | Bennett J. Vaculik, D.d.s.,p.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 620 Church St, Sulphur Springs, Texas |
| Authorized Official Name and Position | Bennett J. Vaculik (PRESIDENT) |
| Authorized Official Contact | 9038857726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bennett J. Vaculik, D.d.s.,p.c. 620 Church St Sulphur Springs TX 75482-2689 Ph: (903) 885-7726 | Bennett J. Vaculik, D.d.s.,p.c. 620 Church St Sulphur Springs TX 75482-2689 Ph: (903) 885-7726 |
| NPI Number | 1801914155 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801914155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12250 (Texas) | Primary |
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