Organization
BULLARD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN L BULLARD DR (DENTIST)
(706) 863-5337
Entity
Organization
Contact information
Practice address
3702 WASHINGTON RD, MARTINEZ, GA 30907-2848
(706) 863-5337
(706) 855-8249
Mailing address
3702 WASHINGTON RD, MARTINEZ, GA 30907-2848
(706) 863-5337
(706) 855-8249
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014101
GA
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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