Blake M. Bullard, D.D.S.

NPI #1548421852 in Durant, Oklahoma

Provider Information

NPI Number: 1548421852
Entity Type: Individual
Name: Blake M. Bullard, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 19, 2008
Last Updated: Jun 20, 2018

Practice Location

Address: 5008 W. UNIVERSITY BLVD.
City: Durant
State: Oklahoma
ZIP Code: 74701
Phone: (580) 931-3366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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