Individual
DR. CHAD BULLEIGH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22048 W 66TH ST, SHAWNEE, KS 66226-3500
(913) 962-7223
Mailing address
21609 W 50TH TER, SHAWNEE, KS 66226-9791
(913) 322-6751
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60169
KS
Other
Enumeration date
01/08/2006
Last updated
07/08/2007
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