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1831762061
ALEX THOMAS BULLOCK
FORT CAVAZOS, TX
NPI
1831762061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ D011161)
Additional Taxonomies
122300000X Dentist
(Licence: CA 106428)
Enumeration Date
2021-07-24
Last Update Date
2024-05-31
Business Address
Dr. ALEX THOMAS BULLOCK DDS
36000 SHOEMAKER LANE, STE 1051
FORT CAVAZOS, TX 76544
Phone number: 254-287-2705
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Mailing Address
Dr. ALEX THOMAS BULLOCK DDS
USA DENTAC HEALTH ACTIVITY 36000 SHOEMAKER LANE, SUITE 1051
FORT CAVAZOS, TX 76544-5054
Phone number: 254-287-2705
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