Individual
JOSEPH ROBERT BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2825 NE WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367-5128
(541) 994-3033
(541) 994-6489
Mailing address
2825 NE WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367-5128
(541) 994-3033
(541) 994-6489
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5918
OR
Other
Enumeration date
12/12/2011
Last updated
02/02/2016
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