Individual
DR. BRUCE E. MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.01
Contact information
Practice address
1403 SILVERSIDE RD, SUITE A, WILMINGTON, DE 19810-4434
(302) 475-9220
(302) 475-9210
Mailing address
1403 SILVERSIDE RD, SUITE A, WILMINGTON, DE 19810-4434
(302) 475-9220
(302) 475-9210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0000855
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000040895
—
DE
Enumeration date
11/03/2006
Last updated
07/08/2007
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