David W Bull, DENTIST Valid NPI

Individual provider · General Practice Dentistry · Polson, MT

NPI

1376609586

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DEN-DEN-LIC-1764 (MT)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-12-29

Last updated

2024-03-15