Individual
DR. JARETT HULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4534 WESTGATE BLVD, SUITE 200, AUSTIN, TX 78745
(512) 892-5988
(512) 892-4064
Mailing address
1218 SW MILITARY DR, SAN ANTONIO, TX 78221-1535
(210) 928-2814
(210) 928-2364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
053028-1
NY
122300000X
Dentist
Primary
26277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02817485
—
NY
Enumeration date
04/13/2007
Last updated
05/24/2011
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