Individual
BRADLEY JON PULFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1405 MEDICAL PARK DR, FORT WAYNE, IN 46825-5831
(260) 482-4483
(260) 471-9889
Mailing address
1405 MEDICAL PARK DR, FORT WAYNE, IN 46825-5831
(260) 482-4483
(260) 471-9889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010676A
IN
Other
Enumeration date
11/13/2007
Last updated
07/08/2008
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