Individual
DR. ALEX THOMAS BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
36000 SHOEMAKER LANE, STE 1051, FORT CAVAZOS, TX 76544
(254) 287-2705
Mailing address
USA DENTAC HEALTH ACTIVITY, 36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544-5054
(254) 287-2705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
106428
CA
122300000X
Dentist
Primary
D011161
AZ
Other
Enumeration date
07/24/2021
Last updated
05/31/2024
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