Individual
DR. BRUCE WILLIAM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
402 STEVENS ENTRY, PEACHTREE CITY, GA 30269-4050
(770) 487-3807
(770) 487-1259
Mailing address
402 STEVENS ENTRY, PEACHTREE CITY, GA 30269-4050
(770) 487-3807
(770) 487-1259
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN013826
GA
Other
Enumeration date
05/16/2008
Last updated
01/06/2009
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