Individual
DR. BRUCE JOHN PAVLOV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1101 LINCOLN AVE, MARQUETTE, MI 49855-2622
(906) 225-0617
(906) 225-1777
Mailing address
1101 LINCOLN AVE, MARQUETTE, MI 49855-2622
(906) 225-0617
(906) 225-1777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016634
MI
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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