Lewiston Dental Care

NPI #1801443049 in Lewiston, Minnesota

Provider Information

NPI Number
1801443049
Entity Type
Organization
Organization Name
Lewiston Dental Care
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 22, 2019
Last Updated
Aug 22, 2019

Practice Location

Address
560 DEBRA DR
ZIP Code
55952
Phone
(507) 523-1071

Authorized Official

Name
DR. BRADLEY JOHN BULLARD, DDS
Title
DENTIST/OWNER
Phone
(507) 523-1071

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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