Individual
JONATHON M. PULLARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 E FOUNTAIN ST, DODGEVILLE, WI 53533-1749
(608) 935-5550
(608) 935-5168
Mailing address
2901 W BELTLINE HWY STE 120, MADISON, WI 53713-4231
(608) 443-5500
(608) 441-2385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031652
IL
Other
Enumeration date
06/17/2018
Last updated
05/04/2021
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