Organization
JOHN A. BULLOCK DMD LLC
Active
Other names
Bullock Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A BULLOCK DMD (MANAGING MEMBER)
(503) 691-9400
Entity
Organization
Contact information
Practice address
18813 SW MARTINAZZI AVE, TUALATIN, OR 97062-6807
(503) 691-9400
(503) 691-9439
Mailing address
18813 SW MARTINAZZI AVE, TUALATIN, OR 97062-6807
(503) 691-9400
(503) 691-9439
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2009
Last updated
05/23/2009
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