Individual
DR. SAM BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.C.
Contact information
Practice address
9240 N MERIDIAN ST, SUITE 120, INDIANAPOLIS, IN 46260-1880
(317) 580-9199
(317) 580-6746
Mailing address
9240 N MERIDIAN ST, SUITE 120, INDIANAPOLIS, IN 46260-1880
(317) 580-9199
(317) 580-6746
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010489A
IN
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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