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1205675394
BRYCE RICHARD BULLOCH
IOWA CITY, IA
NPI
1205675394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IA RES-30694)
Enumeration Date
2024-05-20
Last Update Date
2024-12-01
Business Address
BRYCE RICHARD BULLOCH DDS
801 NEWTON RD
IOWA CITY, IA 52242-8004
Phone number: 435-680-8962
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Mailing Address
BRYCE RICHARD BULLOCH DDS
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 435-680-8962
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