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Individual

BRUCE GORDON TOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
333 SAN CARLOS WAY, SUITE A, STOCKTON, CA 95207-2056
(209) 478-4322
(209) 478-4117
Mailing address
333 SAN CARLOS WAY, SUITE A, STOCKTON, CA 95207-2056
(209) 478-4322
(209) 478-4117

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30126
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G93643-01
CA
Enumeration date
07/20/2006
Last updated
07/08/2007
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