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1295794113
CARL BRUCE BULLEN
KINGMAN, AZ
NPI
1295794113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: AZ 3921)
Enumeration Date
2006-03-20
Last Update Date
2007-07-08
Business Address
-- CARL BRUCE BULLEN DDS
1143 RIATA VALLEY RD
KINGMAN, AZ 86409-2978
Phone number: 928-757-8700
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Mailing Address
-- CARL BRUCE BULLEN DDS
1143 RIATA VALLEY RD
KINGMAN, AZ 86409-2978
Phone number:
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