Individual
BRETT BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20075 NORTHVILLE PLACE DR APT 3122, NORTHVILLE, MI 48167-2962
(810) 577-8916
Mailing address
20075 NORTHVILLE PLACE DR APT 3122, NORTHVILLE, MI 48167-2962
(810) 577-8916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021367
MI
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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