DR. Mark Richmond Bullock, DDS

NPI #1962419697 in Abilene, Texas

Provider Information

NPI Number: 1962419697
Entity Type: Individual
Name: DR. Mark Richmond Bullock, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 2, 2006
Last Updated: Apr 4, 2012

Practice Location

Address: 1034 N WILLIS ST
City: Abilene
State: Texas
ZIP Code: 79603-4622
Phone: (325) 673-8164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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