Individual
BRUCE HOWARD DENTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, ABFP, CMD
Contact information
Practice address
1010 W ROSEWOOD AVE, SPOKANE, WA 99208-4257
(509) 465-9776
(509) 465-9058
Mailing address
1010 W. ROSEWOOD AVE., GERIATRIC FAMILY CARE, SPOKANE, WA 99208-4257
(509) 465-9776
(509) 465-9058
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD00014194
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073923
—
WA
Enumeration date
10/10/2006
Last updated
12/17/2007
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