Individual
DR. BRENDAN WILLIAM TULLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1ST DENTAL BATTALION/NDC, CAMP PENDLETON, CA 92055
(760) 725-2569
Mailing address
2658 DEL MAR HEIGHTS RD, DEL MAR, CA 92014-3100
(760) 401-6881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5806
AZ
Other
Enumeration date
08/26/2005
Last updated
07/08/2007
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