Organization
PETER L BULTHUIS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER L BULTHUIS DDS (DENTIST)
(734) 422-1332
Entity
Organization
Contact information
Practice address
5625 MIDDLEBELT RD, GARDEN CITY, MI 48135-2457
(734) 422-1332
(734) 422-1335
Mailing address
5625 MIDDLEBELT RD, GARDEN CITY, MI 48135-2457
(734) 422-1332
(734) 422-1335
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
13246
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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