Organization
JOHN W BULL DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM BULL DDS (SOLE PROPRIETOR)
(970) 243-2855
Entity
Organization
Contact information
Practice address
228 N CHERRY ST, FRUITA, CO 81521-2101
(970) 243-2855
(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
DEN00000167
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02001675
—
CO
Enumeration date
12/21/2015
Last updated
12/21/2015
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