Individual
DANIEL BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7878 W USTICK RD STE 101, BOISE, ID 83704-5006
(208) 376-2920
(208) 376-8509
Mailing address
7878 W USTICK RD STE 101, BOISE, ID 83704-5006
(208) 376-2920
(208) 376-8509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-3912
ID
Other
Enumeration date
09/20/2006
Last updated
09/21/2022
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