Individual
DR. BRUCE K HUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1324 23RD ST S, SUITE 1A, FARGO, ND 58103-3702
(701) 237-5616
(701) 271-8813
Mailing address
1324 23RD ST S STE 1A, FARGO, ND 58103-3702
(701) 237-5616
(701) 271-8813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1392
ND
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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