DR. MARK PULTMAN, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1053352039
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 11328 (MO) |
Frequently Asked Questions
NPI 1053352039 is the National Provider Identifier for DR. MARK PULTMAN, D.D.S., a Dentist - General Practice provider located in Bridgeton, MO. This NPI was enumerated on June 9, 2006.
DR. MARK PULTMAN, D.D.S. practices at 12758 BOENKER LN, Bridgeton, MO 63044.
Quick Facts
- NPI
- 1053352039
- Type
- Individual
- Enumerated
- Jun 9, 2006
- Last Updated
- Jul 8, 2007
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