Individual
DR. BRUCE ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1695 N 7TH ST, LEBANON, PA 17046-2103
(717) 274-2514
Mailing address
1695 N 7TH ST, LEBANON, PA 17046-2103
(717) 274-2514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018966-L
PA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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