Organization
RIVER REGION DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY HARRELL BULLARD DMD (PRESIDENT)
(334) 272-0110
Entity
Organization
Contact information
Practice address
125 COLISEUM BLVD, MONTGOMERY, AL 36109-2707
(334) 272-0110
Mailing address
125 COLISEUM BLVD, MONTGOMERY, AL 36109-2707
(334) 272-0110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4146
AL
Other
Enumeration date
11/22/2006
Last updated
07/10/2015
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