Individual
DR. CASSANDRA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1871 OLD HUDSON RD, SAINT PAUL, MN 55119-4308
(651) 738-0900
Mailing address
992 MANVEL ST, SAINT PAUL, MN 55114-1112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14654
MN
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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