| NPI | 1164422739 |
|---|---|
| Doing Business As | SCOTT E BULLOCH DDS, MS |
| Entity Type | Organization |
| Authorized Contact | SCOTT EDWIN BULLOCH President 435-652-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: UT 273596-9924) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2017-10-12 |