Individual
DR. BRUCE CHARLES MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
88 BEACH ST, WESTERLY, RI 02891-2718
(401) 569-0075
(401) 596-0388
Mailing address
88 BEACH ST, WESTERLY, RI 02891-2718
(401) 569-0075
(401) 596-0388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN01579
RI
Other
Enumeration date
05/08/2006
Last updated
05/01/2009
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