| Kudlik Dental Corporation | |
|
2000 E Chapman Ave Ste 100 Fullerton CA 92831-4103 | |
| (714) 526-2860 | |
| (714) 526-6775 |
| Full Name | Kudlik Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 2000 E Chapman Ave, Fullerton, California |
| Authorized Official Name and Position | Dennis Donald Kudlik (DENTIST) |
| Authorized Official Contact | 7145262860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kudlik Dental Corporation 2000 E Chapman Ave Ste 100 Fullerton CA 92831-4103 Ph: (714) 526-2860 | Kudlik Dental Corporation 2000 E Chapman Ave Ste 100 Fullerton CA 92831-4103 Ph: (714) 526-2860 |
| NPI Number | 1396917290 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 10/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396917290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43708 (California) | Primary |
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