DR. Brendan William Tully, D.D.S.

NPI #1215920061 in Camp Pendleton, California

Provider Information

NPI Number: 1215920061
Entity Type: Individual
Name: DR. Brendan William Tully, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 26, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1ST DENTAL BATTALION/NDC
City: Camp Pendleton
State: California
ZIP Code: 92055
Phone: (760) 725-2569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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