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John A. Bullock Dmd Llc
Dental Clinic/Center in Tualatin, Oregon
NPI 1467687137

John A. Bullock Dmd Llc is a Dental Clinic/Center based in Tualatin, OR and is specialized in Dental. John A. Bullock Dmd Llc practices in Tualatin, OR. The NPI Number for John A. Bullock Dmd Llc is 1467687137 and holds a License No. (Oregon).

The current practice location address for John A. Bullock Dmd Llc is 18813 Sw Martinazzi Ave, Tualatin, OR and can be reached out via phone at 503-691-9400 and via fax at 503-691-9439.

Location: 18813 Sw Martinazzi Ave, Tualatin, OR, 97062-6807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467687137
Provider Name
John A. Bullock Dmd Llc
Credential
Provider Entity Type
Organization
Address
18813 Sw Martinazzi Ave, Tualatin, OR, 97062-6807
Phone Number
503-691-9400
Fax Number
503-691-9439
Provider Enumeration Date
05/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18813 Sw Martinazzi Ave
City
Tualatin
State
Oregon
Zip
97062-6807
Phone Number
503-691-9400
Fax Number
503-691-9439
person
Provider Business Mailing Address Details
Address
18813 Sw Martinazzi Ave
City
Tualatin
State
Oregon
Zip
97062-6807
Phone Number
503-691-9400
Fax Number
503-691-9439
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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