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Organization
RICHARD ARTHUR BULLOCK DDS
Active
Organization
RICHARD ARTHUR BULLOCK DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ARTHUR BULLOCK DDS (OWNER)
(760) 340-5107
Entity
Organization
Contact information
Practice address
72027 DESERT DR, RANCHO MIRAGE, CA 92270-4959
(760) 340-5107
(760) 340-0315
Mailing address
72027 DESERT DR, RANCHO MIRAGE, CA 92270-4959
(760) 340-5107
(760) 340-0315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
028127
CA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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