Individual
DR. DAVID BULOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
411 MONCLA AVE, BELLE CHASSE, LA 70037-2314
(504) 208-1287
Mailing address
411 MONCLA AVE, BELLE CHASSE, LA 70037-2314
(504) 208-1287
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5625
LA
Other
Enumeration date
05/03/2008
Last updated
05/03/2008
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