Jeri Lynn Bullock, DDS Valid NPI
Individual provider · General Practice Dentistry · Midvale, UT
- NPI
- 1396030003
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 90-0809888 (UT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-06-10
- Last updated
- 2022-07-21
Practice location
1144 E Fort Union Blvd
Midvale, UT 84047-1804
(801) 566-3118