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Individual

DR. DAVID E BULLARD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
201 N PLAZA BLVD, CHILLICOTHE, OH 45601-1761
(740) 772-4499
Mailing address
201 N PLAZA BLVD, CHILLICOTHE, OH 45601-1761

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20390
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0218428
OH
Enumeration date
06/14/2006
Last updated
07/08/2007
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