DR. Luther B Bullock JR., D.D.S.

NPI #1063584530 in Salem, Oregon

Provider Information

NPI Number: 1063584530
Entity Type: Individual
Name: DR. Luther B Bullock JR., D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 13, 2006
Last Updated: Jan 12, 2012

Practice Location

Address: 3694 BAYONNE DR.
City: Salem
State: Oregon
ZIP Code: 97317-5393
Phone: (503) 689-1838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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