Provider Demographics
NPI:1063514826
Name:WULWICK, ARTHUR CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:CHARLES
Last Name:WULWICK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 NORTH JOSEY LANE;
Mailing Address - Street 2:SUITE #114
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-5541
Mailing Address - Country:US
Mailing Address - Phone:972-245-4546
Mailing Address - Fax:972-446-0586
Practice Address - Street 1:2630 NORTH JOSEY LANE;
Practice Address - Street 2:SUITE #114
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-5541
Practice Address - Country:US
Practice Address - Phone:972-245-4546
Practice Address - Fax:972-446-0586
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12774122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist