John A. Bullock Dmd LLC

NPI #1467687137 in Tualatin, Oregon

Provider Information

NPI Number
1467687137
Entity Type
Organization
Organization Name
John A. Bullock Dmd LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 23, 2009
Last Updated
May 23, 2009

Practice Location

Address
18813 SW MARTINAZZI AVE
State
Oregon
ZIP Code
97062-6807
Phone
(503) 691-9400

Authorized Official

Name
DR. JOHN A BULLOCK, DMD
Title
MANAGING MEMBER
Phone
(503) 691-9400

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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