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Organization

T BULLION DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY ROBERT BULLION DDS (OWNER)
(414) 273-5553
Entity
Organization

Contact information

Practice address
310 W WISCONSIN AVE, SUITE 100M, MILWAUKEE, WI 53203-2213
(414) 273-5553
Mailing address
310 W WISCONSIN AVE, SUITE 100M, MILWAUKEE, WI 53203-2213
(414) 273-5553

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4389-15
WI

Other

Enumeration date
04/11/2016
Last updated
04/11/2016
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