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Individual

DR. BRUCE R JESPERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10430 S DE ANZA BLVD STE 290, CUPERTINO, CA 95014-3025
(408) 446-5787
(408) 446-1447
Mailing address
10430 S DE ANZA BLVD STE 290, CUPERTINO, CA 95014-3025
(408) 446-5787
(408) 446-1447

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
27152
CA

Other

Enumeration date
04/06/2007
Last updated
07/08/2007
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