Brittany Bullock

NPI #1750731170 in Fort Lee, Virginia

Provider Information

NPI Number: 1750731170
Entity Type: Individual
Name: Brittany Bullock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Jun 16, 2016
Last Updated: Jun 16, 2016

Practice Location

Address: 300 CENTRAL AVE
Address 2: BLGD. 18036
City: Fort Lee
State: Virginia
ZIP Code: 23801-1526
Phone: (804) 734-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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