| NPI | 1770993180 |
|---|---|
| Doing Business As | BULLARD DENTAL |
| Entity Type | Organization |
| Authorized Contact | BLAKE MICHAEL BULLARD Owner 580-931-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 6022) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2018-07-06 |