Individual
DR. COLLEEN DEANNE BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5425 WHITTAKER RD, YPSILANTI, MI 48197-9751
(734) 480-0033
Mailing address
5425 WHITTAKER RD, YPSILANTI, MI 48197-9751
(734) 480-0033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018378
MI
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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