Organization
BRUCE A SCHRADER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA M SCHRADER CDA, COMSA, RDA (ADMINISTRATOR)
(806) 745-8413
Entity
Organization
Contact information
Practice address
3305 81ST ST, STE D, LUBBOCK, TX 79423-2042
(806) 745-8413
Mailing address
3305 81ST ST, STE D, LUBBOCK, TX 79423-2042
(806) 745-8413
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16874
TX
Other
Enumeration date
03/30/2012
Last updated
05/16/2013
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