Individual
ADAM BULLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 W MAIN ST, PAWHUSKA, OK 74056-4114
(918) 287-4172
(918) 287-4176
Mailing address
201 W MAIN ST, PAWHUSKA, OK 74056-4114
(918) 287-4172
(918) 287-4176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6186
OK
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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