JACK KULM, DMD PA

Dentist

Active Individual
NPI: 1275641540

Practice Address

410 N IDAHO ST
Wendell, ID 83355

Phone: (208) 536-5441

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D1679 (ID)

Frequently Asked Questions

NPI 1275641540 is the National Provider Identifier for JACK KULM, DMD PA, a Dentist provider located in Wendell, ID. This NPI was enumerated on August 28, 2006.
JACK KULM, DMD PA practices at 410 N IDAHO ST, Wendell, ID 83355.

Quick Facts

NPI
1275641540
Type
Individual
Enumerated
Aug 28, 2006
Last Updated
Jul 8, 2007

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