Individual
DR. BRUCE MATTHEW THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5454 EL CAJON BLVD, SAN DIEGO, CA 92115-3621
(619) 515-2400
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 906-4623
(619) 906-4564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45622
CA
Other
Enumeration date
09/20/2006
Last updated
03/17/2018
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