Individual
DR. AMANDEEP BHULLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1660 WILLOW ST STE 7, SAN JOSE, CA 95125-5101
(408) 677-6811
Mailing address
1660 WILLOW ST STE 7, SAN JOSE, CA 95125-5101
(408) 677-6811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
55373
CA
261QD0000X
Dental Clinic/Center
Primary
55373
CA
Other
Enumeration date
10/10/2017
Last updated
10/15/2018
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