Individual
DR. BRUCE A. STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
345 ESTUDILLO AVE, SUITE 102, SAN LEANDRO, CA 94577-4702
(510) 483-2164
(510) 483-1671
Mailing address
345 ESTUDILLO AVE, SUITE 102, SAN LEANDRO, CA 94577-4702
(510) 483-2164
(510) 483-1671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27075
CA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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