Individual
DR. JOSEPH DOMENIC BRUZZESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2430 E HARMON AVE, STE 4, LAS VEGAS, NV 89121
(702) 734-6202
(702) 734-7473
Mailing address
2452 RAM CROSSING WAY, HENDERSON, NV 89014
(702) 896-6220
(702) 734-7473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
579
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731270
UNITED CONCORDIA
NV
Enumeration date
02/13/2007
Last updated
07/08/2007
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