Individual
BRUCE GARY DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
619 IRVING ST, SAN FRANCISCO, CA 94122-2401
(415) 661-8253
(415) 661-2490
Mailing address
619 IRVING ST, SAN FRANCISCO, CA 94122-2401
(415) 661-8253
(415) 661-2490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5660TPA
CA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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