Individual
MR. BENJAMIN JAMES BULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15455 GLENEAGLE DR, SUITE 110, COLORADO SPRINGS, CO 80921
(719) 488-2222
(719) 488-4227
Mailing address
15455 GLENEAGLE DR, SUITE 110, COLORADO SPRINGS, CO 80921
(719) 488-2222
(719) 488-4227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7062
CO
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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