Organization
BRUCE R. OUELLETTE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE R OUELLETTE DDS (OWNER)
(561) 659-5566
Entity
Organization
Contact information
Practice address
2431 S DIXIE HWY, WEST PALM BEACH, FL 33401-7935
(561) 659-5566
Mailing address
2431 S DIXIE HWY, WEST PALM BEACH, FL 33401-7935
(561) 659-5566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9470
FL
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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