Bulldog Adventures, Pllc
NPI #1235528233 in Madison Lake, Minnesota
Provider Information
- NPI Number
- 1235528233
- Entity Type
- Organization
- Organization Name
- Bulldog Adventures, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 13, 2015
- Last Updated
- Jan 13, 2015
Practice Location
- Address
- 516 MAIN ST
- City
- Madison Lake
- State
- Minnesota
- ZIP Code
- 56063-2027
- Phone
- (507) 243-3747
Authorized Official
- Name
- DR. BRANDON J KELLY, D.D.S.
- Title
- OWNER
- Phone
- (507) 382-0642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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