Individual
DR. NATHANIEL BULLOCK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,PA
Contact information
Practice address
4316 SAINT BARNABAS RD, TEMPLE HILLS, MD 20748-1834
(301) 423-3000
(301) 423-7030
Mailing address
4316 SAINT BARNABAS RD, TEMPLE HILLS, MD 20748-1834
(301) 423-3000
(301) 423-7030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10643
MD
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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