Organization
BULLARD CHILDRENS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE H BULLARD DDS (PEDIATRIC DENTIST)
(920) 452-5437
Entity
Organization
Contact information
Practice address
1020 S TAYLOR DR, SHEBOYGAN, WI 53081-4773
(920) 452-5437
(920) 452-2002
Mailing address
1020 S TAYLOR DR, SHEBOYGAN, WI 53081-4773
(920) 452-5437
(920) 452-2002
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5747
WI
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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