Carolyn Deolinda Bullock, DDS Valid NPI
Individual provider · General Practice Dentistry · Frederick, CO
- NPI
- 1558665273
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D07836 (AZ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-01-10
- Last updated
- 2018-11-16
Practice location
320 5th St
Frederick, CO 80530
(303) 833-3230