DR. Jonathan Bultema, D.D.S.

NPI #1669704300 in Horace, North Dakota

Provider Information

NPI Number: 1669704300
Entity Type: Individual
Name: DR. Jonathan Bultema, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Feb 5, 2010
Last Updated: Feb 7, 2017

Practice Location

Address: 594 MAIN ST N
City: Horace
State: North Dakota
ZIP Code: 58047-4640
Phone: (701) 552-6001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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