Individual
DR. EVAN M BULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
510 SUPERIOR AVE, CLEVELAND, OH 44114
(216) 621-3675
(216) 621-9790
Mailing address
510 SUPERIOR AVE, CLEVELAND, OH 44114
(216) 621-3675
(216) 621-9790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30018820
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0782532
—
OH
Enumeration date
10/16/2006
Last updated
07/08/2007
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