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JERI LYNN BULLOCK DDS

DDS

General Practice Dentistry

NPI: 1396030003Individual

Specialties, Licenses & Credentials

Dentist

Dentist

Code: 122300000X

0401414490(VA)
General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

016.0078267(VT)90-0809888(UT)

Contact & Hours

Via 1144 East Fort Union Blvd · 2 locations total

Address
1144 E FORT UNION BLVD
MIDVALE, UT 84047

Quick Facts

NPI
1396030003
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
3
Locations
2

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