Virgil Ullom D.D.S.

NPI 1710021415 - Dentist - 1223G0001X

NPI Details
NPI 1710021415
Gender Male
Enumeration Date 02/16/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1 SCENIC CENTRAL STE 107
LAKE WALES FL, 33853-6107, US
Phone (863) 678-1939
Fax
Business Location
245 BABSON DR
BABSON PARK FL, 33827-9516, US
Phone (863) 638-2228
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN9072
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According to our database, Dr. Virgil Ullom D.D.S. NPI is 1710021415, taxonomy code is 1223G0001X and license number is DN9072, license state is located at Florida. Virgil Ullom D.D.S. physically located at 1 Scenic Central Ste 107, Lake Wales FL, 33853-6107. NPI Number Virgil Ullom D.D.S. has the Individual type.

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1710021415 NPI number is provided on an as is basis without warranty of any kind. 1710021415 is maintained by the National Plan & Provider Enumeration System. The contents of Virgil Ullom D.D.S. are for informational purposes only.