Individual
DR. BRUCE ALAN MATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2948 E 10TH ST, JEFFERSONVILLE, IN 47130-7293
(812) 288-9300
(812) 288-9602
Mailing address
2948 E 10TH ST, JEFFERSONVILLE, IN 47130-7293
(812) 288-9300
(812) 288-9602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7886
IN
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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