| NPI | 1467687137 |
|---|---|
| Doing Business As | BULLOCK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN A BULLOCK Managing Member 503-691-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2009-05-23 |
| Last Update Date | 2009-05-23 |