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Individual
BRUCE C GILMORE
Active
Individual
BRUCE C GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
789977
UNITED CONCORDIA
—
01
—
83485
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
08/05/2006
Last updated
06/16/2008
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