Jack C Kulm, DMD PA

NPI #1275641540 in Wendell, Idaho

Provider Information

NPI Number: 1275641540
Entity Type: Individual
Name: Jack C Kulm, DMD PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD PA
Enumeration Date: Aug 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 410 N IDAHO ST
City: Wendell
State: Idaho
ZIP Code: 83355
Phone: (208) 536-5441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Jack C. Kulm Dmd PA	Dentist	Wendell	AI Deep Dive

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