Individual
DR. BRUCE A. AHTYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20099 REDWOOD RD, CASTRO VALLEY, CA 94546-4326
(510) 881-1611
(510) 881-0254
Mailing address
20099 REDWOOD RD, CASTRO VALLEY, CA 94546-4326
(510) 881-1611
(510) 881-0254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29199
CA
Other
Enumeration date
11/02/2006
Last updated
07/21/2022
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