Alex Thomas Bullock
ActiveCalifornia license 106428
License
- Licensed by
- Dental Board of California
- License number
- 106428
- Status
- Active (Current)
- First issued
- July 1, 2021
- Expires
- November 30, 2028
- License holder
- Alex Thomas Bullock
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2885 Swirl Dr
Lake Havasu City, AZ 86404-3236
Lake Havasu City, AZ 86404-3236
Mohave County