| Richard Arthur Bullock Dds | |
|
72027 Desert Dr Rancho Mirage CA 92270-4959 | |
| (760) 340-5107 | |
| (760) 340-0315 |
| Full Name | Richard Arthur Bullock Dds |
|---|---|
| Speciality | Dentist |
| Location | 72027 Desert Dr, Rancho Mirage, California |
| Authorized Official Name and Position | Richard Arthur Bullock (OWNER) |
| Authorized Official Contact | 7603405107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Arthur Bullock Dds 72027 Desert Dr Rancho Mirage CA 92270-4959 Ph: (760) 340-5107 | Richard Arthur Bullock Dds 72027 Desert Dr Rancho Mirage CA 92270-4959 Ph: (760) 340-5107 |
| NPI Number | 1962899666 |
|---|---|
| Provider Enumeration Date | 04/20/2015 |
| Last Update Date | 04/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962899666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 028127 (California) | Primary |
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