Joseph Robert Bullock, DDS

NPI #1134497639 in Lincoln City, Oregon

Provider Information

NPI Number
1134497639
Entity Type
Individual
Name
Joseph Robert Bullock, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Dec 12, 2011
Last Updated
Feb 2, 2016

Practice Location

Address
2825 NE WEST DEVILS LAKE RD
State
Oregon
ZIP Code
97367-5128
Phone
(541) 994-3033

Specialties & Taxonomy Codes

Specialty
Dentist

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