Individual
DR. JOHN W BRUCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1816 INDEPENDENCE SQ, SUITE B, ATLANTA, GA 30338-5150
(770) 399-9199
Mailing address
1816 INDEPENDENCE SQ, SUITE B, ATLANTA, GA 30338-5150
(770) 399-9199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8478
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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