| NPI | 1912687666 | 
|---|---|
| Doing Business As | DR WALTER KULICK | 
| Entity Type | Organization | 
| Authorized Contact | WALTER KULICK President 954-341-0500  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2023-07-18 | 
| Last Update Date | 2023-07-25 |