Individual
DR. GORDON K BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
582 LAUREL ST, JUNCTION CITY, OR 97448-1271
(541) 998-8147
(541) 998-3568
Mailing address
582 LAUREL ST, JUNCTION CITY, OR 97448-1271
(541) 998-8147
(541) 998-3568
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4813
OR
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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