Individual
DR. ANDREW R LULLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2353 S RIDGE RD, GREEN BAY, WI 54304-5069
(920) 499-0471
(920) 499-8312
Mailing address
2353 S RIDGE RD, GREEN BAY, WI 54304-5069
(920) 499-0471
(920) 499-8312
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5143-015
WI
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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