Individual
DR. BRUCE JAMES DERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1420 NW VIVION RD, STE.#107, KANSAS CITY, MO 64118-4555
(816) 505-0555
(816) 505-2662
Mailing address
1420 NW VIVION RD, STE.#107, KANSAS CITY, MO 64118-4555
(816) 505-0555
(816) 505-2662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012189
MO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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