Michael Francis Gullo, DDS Valid NPI
Individual provider · Dentist · Marlton, NJ
- NPI
- 1104958255
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 22DI01147100 (NJ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-03-12
- Last updated
- 2007-07-08
Practice location
1002a Greentree Executive Campus
Marlton, NJ 08053-1533
(856) 988-9080