Organization
JOHN M BRUCE III DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M BRUCE III DMD PC (OWNER)
(208) 322-1263
Entity
Organization
Contact information
Practice address
1744 N MITCHELL, BOISE, ID 83704
(208) 322-1263
(208) 322-5662
Mailing address
1744 N MITCHELL, BOISE, ID 83704
(208) 322-1263
(208) 322-5662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1770
ID
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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