Organization
BRUCE R. TREFZ, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ROBERT TREFZ ORAL SURGEON (PRESIDENT)
(704) 861-1235
Entity
Organization
Contact information
Practice address
1041 X-RAY DRIVE, GASTONIA,, NC 28034-7489
(704) 861-1235
Mailing address
1041 X-RAY DRIVE, GASTONIA,, NC 28034-7489
(704) 861-1235
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4960
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998532
—
NC
Enumeration date
10/07/2010
Last updated
10/07/2010
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