Doctor Name: | DR. BOGDAN MICHAEL KULIKOWSKI |
NPI Number: | 1003038571 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD |
License Number: | D 3765 OS |
Business Practice Address: | 15215 S 48th Street Suite #158 Phoenix, AZ - 850449139 |
Business Phone Number: | 4805983006 |
Business Fax Number: | 4805981184 |
Mailing Address: | 15215 S 48th Street, Suite #158 PHOENIX |
State: | AZ |
Postal Code: | 850449139 |
Phone Number: | 4805983006 |
Fax Number: | 4805981184 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223S0112X |
License Number: | D 3765 OS |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Oral and Maxillofacial Surgery |
Taxonomy Definition: | The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |