Individual
DR. BRUCE SCHWANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
48 NE 11TH ST, MADRAS, OR 97741-1865
(629) 999-5014
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30695
CA
1223G0001X
General Practice Dentistry
D11072
OR
Other
Enumeration date
08/25/2006
Last updated
11/21/2019
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