| Rex L. Bullock DDS Inc | |
|
914 Washburn Ave Ste #2 Corona CA 92882-4362 | |
| (951) 737-1149 | |
| Not Available |
| Full Name | Rex L. Bullock DDS Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 914 Washburn Ave, Corona, California |
| Authorized Official Name and Position | Rex Bullock (DENTIST) |
| Authorized Official Contact | 9517371149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rex L. Bullock DDS Inc 914 Washburn Ave Ste #2 Corona CA 92882-4362 | Rex L. Bullock DDS Inc 914 Washburn Ave Ste #2 Corona CA 92882-4362 Ph: (951) 737-1149 |
| NPI Number | 1720190226 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720190226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25370 (California) | Primary |
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