| Timothy S. Kulik D.d.s.,p.c. | |
|
211 N Saint Peter St South Bend IN 46617-2823 | |
| (574) 288-1900 | |
| (574) 288-3900 |
| Full Name | Timothy S. Kulik D.d.s.,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 211 N Saint Peter St, South Bend, Indiana |
| Authorized Official Name and Position | Timothy Sigmund Kulik (OFFICER) |
| Authorized Official Contact | 5742881900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy S. Kulik D.d.s.,p.c. 211 N Saint Peter St South Bend IN 46617-2823 Ph: (574) 288-1900 | Timothy S. Kulik D.d.s.,p.c. 211 N Saint Peter St South Bend IN 46617-2823 Ph: (574) 288-1900 |
| NPI Number | 1568739332 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 11/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568739332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12007358 (Indiana) | Primary |
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