Individual
DR. BRUCE ROBERT LUSTBADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
168 FRANKLIN CORNER RD, BLDG 2, LAWRENCEVILLE, NJ 08648
(609) 896-2400
(609) 896-2401
Mailing address
168 FRANKLIN CORNER RD, BLDG 2, LAWRENCEVILLE, NJ 08648
(609) 896-2400
(609) 896-2401
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
11759
NJ
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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