Individual
BRUCE SHINTARO ABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
501 WASHINGTON ST STE 740, SAN DIEGO, CA 92103-2231
(619) 393-7511
Mailing address
501 WASHINGTON ST STE 740, SAN DIEGO, CA 92103-2231
(619) 417-9910
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
47344
CA
Other
Enumeration date
02/21/2006
Last updated
09/25/2023
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