Individual
DR. BRUCE W DRAGOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
709 S CAVIN ST, LIGONIER, IN 46767-1831
(260) 894-4018
Mailing address
709 S CAVIN ST, LIGONIER, IN 46767-1831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007597A
IN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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