JOHN CHARLES WANTULOK

SPOKANE, WA
NPI1649490012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  600052652)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Mr. JOHN CHARLES WANTULOK DDS
S 104 FREYA #213A ORANGE FLAG BLDG
SPOKANE, WA 99202-4868
Phone number: 509-535-2552
Mailing Address
Mr. JOHN CHARLES WANTULOK DDS
S 104 FREYA #213A ORANGE FLAG BLDG
SPOKANE, WA 99202-4868
Phone number: 509-535-2552