# HERMONPAL S BHULLAR DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295177954
- **Authorized official:** DR. HERMONPAL BHULLAR DDS (PRESIDENT)
- **Authorized official phone:** (510) 964-7219

## Contact information

- **Practice address:** 500 ALFRED NOBEL DR STE 205, SUITE 205, HERCULES, CA 94547-1840
- **Practice address phone:** (510) 964-7219
- **Mailing address:** 500 ALFRED NOBEL DR STE 205, SUITE 205, HERCULES, CA 94547-1840
- **Mailing address phone:** (510) 964-7219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 51897 | CA | Yes |

## Other

- **Enumeration date:** 07/23/2013
- **Last updated:** 07/23/2013