Individual
DR. BRUCE JEFFREY KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
107 MAIN ST, COLEBROOK, NH 03576-0055
(603) 237-8919
(603) 237-8919
Mailing address
PO BOX 55, 107 MAIN ST, COLEBROOK, NH 03576-0055
(603) 237-8919
(603) 237-8919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1578
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002018
—
VT
05
—
89192018
—
NH
Enumeration date
08/22/2006
Last updated
07/08/2007
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