Individual
DR. GUS PULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1002 N MITTHOEFFER RD, SUITE B, INDIANAPOLIS, IN 46229-2461
(317) 898-6666
(317) 898-4965
Mailing address
1002 N MITTHOEFFER RD, SUITE B, INDIANAPOLIS, IN 46229-2461
(317) 898-6666
(317) 898-4965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
120008816
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351688238
TAX ID #
IN
Enumeration date
03/27/2007
Last updated
10/18/2012
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