Organization
DWIGHT G BULLER DDS PA
Active
Other names
Parkway Place Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT GRIFFITH BULLER DDS (PRESIDENT)
(952) 895-6933
Entity
Organization
Contact information
Practice address
101 W BURNSVILLE PARKWAY, SUITE 222, BURNSVILLE, MN 55337-2572
(952) 895-6933
(952) 895-6976
Mailing address
101 W BURNSVILLE PARKWAY, SUITE 222, BURNSVILLE, MN 55337-2572
(952) 895-6933
(952) 895-6976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7528
MN
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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