Organization
WALNUT STREET DENTAL ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY JOHN BULLARD DDS (OWNER)
(507) 454-5854
Entity
Organization
Contact information
Practice address
120 WALNUT STREET, WINONA, MN 55987
(507) 454-5854
(507) 454-7533
Mailing address
120 WALNUT STREET, WINONA, MN 55987
(507) 454-5854
(507) 454-7533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
Other
Enumeration date
11/27/2006
Last updated
07/16/2008
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