Individual
DR. BRUCE EDWARD PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2530 NW MEDICAL PARK DR, ROSEBURG, OR 97470-5510
(541) 673-6511
Mailing address
2530 NW MEDICAL PARK DR, ROSEBURG, OR 97470-5510
(541) 673-6511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5861
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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