Individual
DR. BRADLEY JOHN BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
10287
MN
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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