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1821277872
SCOTT EDWIN BULLOCH
ST GEORGE, UT
NPI
1821277872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: UT 2735969224)
Enumeration Date
2007-10-26
Last Update Date
2007-10-26
Business Address
SCOTT EDWIN BULLOCH DDS MS
754 S MAIN ST SUITE 5
ST GEORGE, UT 84770
Phone number: 435-652-1445
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Mailing Address
SCOTT EDWIN BULLOCH DDS MS
754 S MAIN ST SUITE 5
ST GEORGE, UT 84770
Phone number: 435-652-1445
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