Mikulencak, David Matthew
Mikulencak, David Matthew is an individual health care provider with primary practice located at 4544 Hartwood Dr , Fort Worth TX 76109-1840. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mikulencak, David Matthew can be contacted via phone (817) 923-5400.Contact Information
Primary practice address
4544 Hartwood Dr
Fort Worth TX 76109-1840
Phone: (817) 923-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 20876 | Texas |
Profile Details
| NPI number | 1548453335 |
|---|---|
| LBN Legal business name | Mikulencak, David Matthew |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2007 |
| Last updated | Apr 7th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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