Individual
DR. BRUCE R MUMFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VACOUVER, WA 98607
(360) 896-4484
Mailing address
2038 NW 45TH AVE, CAMAS, WA 98607-8539
(360) 896-4484
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00006872
WA
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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