DR. Mark Frederick Pultman, D.D.S.

NPI #1053352039 in Bridgeton, Missouri

Provider Information

NPI Number: 1053352039
Entity Type: Individual
Name: DR. Mark Frederick Pultman, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 12758 BOENKER LN
City: Bridgeton
State: Missouri
ZIP Code: 63044-2436
Phone: (314) 739-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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