Individual
DR. BRUCE DALE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5109 W GENESEE ST, CAMILLUS, NY 13031-2352
(315) 487-2825
Mailing address
5891 BENNETTS CORNERS RD, CAMILLUS, NY 13031-8618
(315) 672-5198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032942
NY
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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