Organization
BULLER FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN BULLER DDS (OWNER)
(337) 468-2787
Entity
Organization
Contact information
Practice address
908 6TH ST, MAMOU, LA 70554-3122
(337) 468-2787
Mailing address
908 6TH ST, MAMOU, LA 70554-3122
(337) 468-2787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6586
LA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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