Individual
DR. LUTHER B BULLOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3694 BAYONNE DR., SALEM, OR 97317-5393
(503) 689-1838
Mailing address
3694 BAYONNE DR., SALEM, OR 97317-5393
(503) 689-1838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8385
OR
Other
Enumeration date
11/13/2006
Last updated
01/12/2012
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