Organization
HERMONPAL S BHULLAR DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMONPAL BHULLAR DDS (PRESIDENT)
(510) 964-7219
Entity
Organization
Contact information
Practice address
500 ALFRED NOBEL DR STE 205, SUITE 205, HERCULES, CA 94547-1840
(510) 964-7219
Mailing address
500 ALFRED NOBEL DR STE 205, SUITE 205, HERCULES, CA 94547-1840
(510) 964-7219
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
51897
CA
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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