Individual
DR. ROBERT MICHAEL BULL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2020 N WEBB RD, #301, WICHITA, KS 67206
(316) 687-2110
Mailing address
2020 N WEBB RD, #301, WICHITA, KS 67206
(316) 687-2110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60154
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116674
BLUE CROSS BLUE SHIELD
KS
01
—
1390654
UNITED CONCORDIA
—
Enumeration date
01/08/2007
Last updated
07/08/2007
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