# JOHN F BRUCIA DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386775732
- **Authorized official:** DR. JOHN F BRUCIA DDS (PRESIDENT)
- **Authorized official phone:** (586) 558-9510

## Contact information

- **Practice address:** 30300 HOOVER ROAD, SUITE 400, WARREN, MI 48093
- **Practice address phone:** (586) 558-9510
- **Practice address fax:** (586) 558-9310
- **Mailing address:** 30300 HOOVER ROAD, SUITE 400, WARREN, MI 48093
- **Mailing address phone:** (586) 558-9510
- **Mailing address fax:** (586) 558-9310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14277 | MI | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 08/22/2020
