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Organization
THOMAS B. BRUFF, DDS PA
Active
Organization
THOMAS B. BRUFF, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH LYNN THOMAS (OFFICE MANAGER)
(910) 762-3393
Entity
Organization
Contact information
Practice address
1307 MEDICAL CENTER DR, WILMINGTON, NC 28401-7502
(910) 762-3393
(910) 762-9610
Mailing address
1307 MEDICAL CENTER DR, WILMINGTON, NC 28401-7502
(910) 762-3393
(910) 762-9610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000124735
UNITED CONCORDIA
NC
05
—
7991156
—
NC
01
—
91156
BCBS
NC
Enumeration date
07/22/2008
Last updated
07/22/2008
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