Gordon K Bullock D.M.D.

NPI 1023045747 - Dentist - 1223G0001X

NPI Details
NPI 1023045747
Gender Male
Enumeration Date 06/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
582 LAUREL ST
JUNCTION CITY OR, 97448-1271, US
Phone (541) 998-8147
Fax (541) 998-3568
Business Location
582 LAUREL ST
JUNCTION CITY OR, 97448-1271, US
Phone (541) 998-8147
Fax (541) 998-3568
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number 4813
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According to our database, Dr. Gordon K Bullock D.M.D. NPI is 1023045747, taxonomy code is 1223G0001X and license number is 4813, license state is located at Oregon. Gordon K Bullock D.M.D. physically located at 582 Laurel St, Junction City OR, 97448-1271. NPI Number Gordon K Bullock D.M.D. has the Individual type.

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1023045747 NPI number is provided on an as is basis without warranty of any kind. 1023045747 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon K Bullock D.M.D. are for informational purposes only.