Organization
DENTAL IMPLANT CENTRE'
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ALAN BULARD DDS (OWNER)
(580) 226-0410
Entity
Organization
Contact information
Practice address
2401 N COMMERCE ST, ARDMORE, OK 73401-1280
(580) 226-0410
(580) 224-9124
Mailing address
2401 N COMMERCE ST, ARDMORE, OK 73401-1280
(580) 226-0410
(580) 224-9124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4684
OK
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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