Individual
DR. BRUCE RICHARD METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
120 OAKBROOK CTR, SUITE 804, OAK BROOK, IL 60523-1806
(630) 368-1007
(630) 368-1008
Mailing address
8130 S GARFIELD AVE, BURR RIDGE, IL 60527-5906
(630) 887-7565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12962
IL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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