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General NPI Number Information
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NPI Number | 1750135752
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Entity Type | Organization
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Legal Business Name | C. KULYK DENTAL CORPORATION
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 1121 D ST STE A
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City | RAMONA
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State | CA
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Zip | 92065-3937
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Country | US
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Telephone | 760-654-3070
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Fax |
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Provider Business Mailing Address
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Address Line | 10903 CAMINITO CUESTA
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City | SAN DIEGO
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State | CA
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Zip | 92131-3572
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Country | US
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Telephone | 925-457-8316
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTINA KULYK ARRIETA
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Credential | DDS
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Telephone | 925-457-8316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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