Individual
DR. ANNA CATHERINE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
215 HIGHWAY 51 N, BROOKHAVEN, MS 39601
(601) 823-1710
(601) 825-8130
Mailing address
PO BOX 24116, JACKSON, MS 39225-4116
(601) 825-7280
(601) 825-8130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3815-15
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08206565
—
MS
Enumeration date
06/30/2015
Last updated
07/04/2018
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