T Bullion Dds Inc | |
310 W Wisconsin Ave Suite 100m Milwaukee WI 53203-2213 | |
(414) 273-5553 | |
Not Available |
Full Name | T Bullion Dds Inc |
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Speciality | Dentist - General Practice |
Location | 310 W Wisconsin Ave, Milwaukee, Wisconsin |
Authorized Official Name and Position | Timothy Robert Bullion (OWNER) |
Authorized Official Contact | 4142735553 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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T Bullion Dds Inc 310 W Wisconsin Ave Suite 100m Milwaukee WI 53203-2213 Ph: (414) 273-5553 | T Bullion Dds Inc 310 W Wisconsin Ave Suite 100m Milwaukee WI 53203-2213 Ph: (414) 273-5553 |
NPI Number | 1235593609 |
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Provider Enumeration Date | 04/11/2016 |
Last Update Date | 04/11/2016 |
Identifier | Type | State | Issuer |
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1235593609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4389-15 (Wisconsin) | Primary |
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