Individual
DR. BRUCE W HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
SOUTHSIDE DENTAL CARE, 3654 GRAVOIS AVE, ST LOUIS, MO 63116
(314) 865-3838
Mailing address
3311 HAMPTON XING, SAINT CHARLES, MO 63303-1604
(636) 699-0579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014300
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402192017
—
MO
Enumeration date
09/20/2006
Last updated
06/05/2022
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