Ted C. Kawulok D.d.s., P.c.

NPI #1669850608 in Boulder, Colorado

Provider Information

NPI Number: 1669850608
Entity Type: Organization
Organization Name: Ted C. Kawulok D.d.s., P.c.
Primary Specialty: Dentist
Enumeration Date: May 11, 2015
Last Updated: May 11, 2015

Practice Location

Address: 1400 28TH ST
Address 2: SUITE 4
City: Boulder
State: Colorado
ZIP Code: 80303-1096
Phone: (303) 442-8625

Authorized Official

Name: DR. TED C KAWULOK, DDS
Title: OWNER
Phone: (303) 442-8625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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