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Individual

DR. ANGELA GULLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, PHD

Contact information

Practice address
875 UNION AVE, ADVANCED PROSTHODONTICS PROGRAM, MEMPHIS, TN 38103-3513
(256) 603-3791
Mailing address
1173 UNION AVE, APT 307, MEMPHIS, TN 38104-6650

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10361
TN

Other

Enumeration date
08/13/2016
Last updated
08/13/2016
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