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1053378620
JASON SCOTT BULLOCK
FORT GORDON, GA
NPI
1053378620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 7840)
Enumeration Date
2006-04-27
Last Update Date
2015-05-20
Business Address
Dr. JASON SCOTT BULLOCK D.M.D
BLDG 38717 38TH STREET USA DENTAL ACTIVITY
FORT GORDON, GA 30905-5660
Phone number: 706-787-6927
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Mailing Address
Dr. JASON SCOTT BULLOCK D.M.D
BLDG 38717 38TH STREET USA DENTAL ACTIVITY
FORT GORDON, GA 30905-5660
Phone number: 706-787-6927
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