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Organization
SINGH BULLARD PEDIATRIC DENTISTRY, PC
Active
Organization
SINGH BULLARD PEDIATRIC DENTISTRY, PC
Active
Other names
Noblesville Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL BULLARD DDS, MSD (DOCTOR)
(317) 219-8684
Entity
Organization
Contact information
Practice address
9669 E 146TH ST, NOBLESVILLE, IN 46060-5005
(317) 773-5437
(317) 773-3565
Mailing address
9669 E 146TH ST, NOBLESVILLE, IN 46060-5005
(317) 773-5437
(317) 773-3565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010489B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20051740A
—
IN
Enumeration date
06/03/2014
Last updated
06/03/2014
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