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Individual

DR. JOHN WILLIAM BULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2226 DOGWOOD CT, GRAND JUNCTION, CO 81506-8402
(970) 242-3362
(970) 256-9467
Mailing address
2226 DOGWOOD CT, GRAND JUNCTION, CO 81506-8402
(970) 243-2855
(970) 256-9467

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00000167
CO
1223P0221X
Pediatric Dentistry
0167
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02001675
CO
05
13720112
CO
05
28800079
CO
Enumeration date
10/27/2005
Last updated
07/28/2021
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