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Individual

DR. PETER L. BULTHUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5625 MIDDLEBELT RD, GARDEN CITY, MI 48135-2457
(734) 422-1332
(734) 422-1335
Mailing address
8578 GOLFSIDE DR, COMMERCE TOWNSHIP, MI 48382-2217
(248) 561-6171
(734) 422-1335

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013246
MI

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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