Individual
CHARLES ALEXANDER ULLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MDS
Contact information
Practice address
71 ALLEN ST, SUTIE 204, RUTLAND, VT 05701-4570
(802) 773-7767
Mailing address
71 ALLEN ST, SUITE 204, RUTLAND, VT 05701-4570
(802) 773-7767
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
016.0087156
VT
Other
Enumeration date
03/21/2012
Last updated
07/21/2016
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