Individual
BRUCE G FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
900 FOULK RD, SUITE 203, WILMINGTON, DE 19803-3155
(302) 778-3822
Mailing address
900 FOULK RD, SUITE 203, WILMINGTON, DE 19803-3155
(302) 778-3822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0000981
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000893108
—
DE
Enumeration date
11/02/2006
Last updated
07/09/2007
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