Individual
DR. JOHN LARRABEE BRUCE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
521 S DARGAN ST, FLORENCE, SC 29506-2549
(843) 667-0645
(843) 667-0403
Mailing address
1201 MADISON AVE, FLORENCE, SC 29501-4253
(843) 669-3359
(843) 667-0403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2480
SC
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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