Organization
BRUCE R. TREFZ, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ROBERT TREFZ (PRESIDENT)
(704) 861-1235
Entity
Organization
Contact information
Practice address
1041 X RAY DR, GASTONIA, NC 28054-7489
(704) 861-1235
(704) 853-2510
Mailing address
1041 X RAY DR, GASTONIA, NC 28054-7489
(704) 861-1235
(704) 853-2510
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4960
NC
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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