Individual
DR. BRUCE DORDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1601 WALNUT ST, SUITE 201, PHILADELPHIA, PA 19102-2944
(215) 545-1677
Mailing address
1601 WALNUT ST, SUITE 201, PHILADELPHIA, PA 19102-2944
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS017728L
PA
Other
Enumeration date
04/14/2013
Last updated
04/14/2013
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