Individual
MR. BRUCE STEPHEN DUNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
372 LUDDY LANE, SAN ANDREAS, CA 95249
(209) 754-3864
(209) 754-5579
Mailing address
PO BOX 400, SAN ANDREAS, CA 95249
(209) 754-3864
(209) 754-5579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26753
CA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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