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Individual
DR. JOSEPH DOMENIC BRUZZESE
Active
Individual
DR. JOSEPH DOMENIC BRUZZESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
579
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731270
UNITED CONCORDIA
NV
Enumeration date
02/13/2007
Last updated
07/08/2007
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