Individual
DR. BRUCE LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3028 MERMAID AVE, BROOKLYN, NY 11224-1806
(718) 996-7700
(718) 996-8180
Mailing address
157 BEACH 145TH ST, NEPONSIT, NY 11694-1143
(718) 996-7700
(718) 996-8180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00809518
—
NY
Enumeration date
10/20/2005
Last updated
03/22/2008
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