Individual
DR. MARIA BULAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 S MIDVALE BLVD, MADISON, WI 53705-5005
(608) 438-9120
Mailing address
14 S MIDVALE BLVD, MADISON, WI 53705-5005
(608) 438-9120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
692015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391913907
—
WI
Enumeration date
06/19/2012
Last updated
06/19/2012
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