Individual
DR. CLAUS JOHAN ULLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, MMS
Contact information
Practice address
BUDGE DENTAL CLINIC, 3145 GARDEN AVE #1278, FORT SAM HOUSTON, TX 78234
(210) 808-2434
Mailing address
NMRTCC SAN ANTONIO/SAMMC LNO, 3851 ROGER BROOKE DRIVE, SAN ANTONIO, TX 78234
(210) 808-2434
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401416394
VA
Other
Enumeration date
06/08/2016
Last updated
09/10/2024
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