Individual
DR. BRUCE PAUL MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1762 E MCANDREWS RD, MEDFORD, OR 97504-5577
(541) 773-3959
(541) 773-1186
Mailing address
1762 E MCANDREWS RD, MEDFORD, OR 97504-5577
(541) 773-3959
(541) 773-1186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7767
OR
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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