Jack C. Kulm Dmd PA

NPI #1932364387 in Wendell, Idaho

Provider Information

NPI Number: 1932364387
Entity Type: Organization
Organization Name: Jack C. Kulm Dmd PA
Primary Specialty: Dentist
Enumeration Date: Jul 25, 2008
Last Updated: Jul 25, 2008

Practice Location

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

Authorized Official

Name: JACK KULM, DMD
Title: PRESIDENT
Phone: (208) 536-5441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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