Organization
COMFORT DENTAL CLAY MATHIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY BULLOCK DMD (OWNER/DENTIST)
(972) 222-5313
Entity
Organization
Contact information
Practice address
540 CLAY MATHIS RD, 110, MESQUITE, TX 75181-1167
(972) 222-5313
Mailing address
540 CLAY MATHIS RD, 110, MESQUITE, TX 75181-1167
(972) 222-5313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24312
TX
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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