Individual
DR. BRUCE M. MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8805 SW 144TH ST, VILLAGE OF PALMETTO BAY, FL 33176-7218
(305) 253-6944
(605) 251-9989
Mailing address
8805 SW 144TH ST, VILLAGE OF PALMETTO BAY, FL 33176-7218
(305) 253-6944
(605) 251-9989
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70054
—
FL
Enumeration date
04/18/2006
Last updated
07/09/2007
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