Bullard Dental

NPI #1528412707 in Martinez, Georgia

Provider Information

NPI Number: 1528412707
Entity Type: Organization
Organization Name: Bullard Dental
Primary Specialty: Dentist
Enumeration Date: Apr 14, 2016
Last Updated: Apr 14, 2016

Practice Location

Address: 3702 WASHINGTON RD
City: Martinez
State: Georgia
ZIP Code: 30907-2848
Phone: (706) 863-5337

Authorized Official

Name: DR. JONATHAN L BULLARD, DR
Title: DENTIST
Phone: (706) 863-5337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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