Individual
DR. GEORGE ANTHONY BRUDER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
STONY BROOK DENTAL ASSOCIATES INC, SULLIVAN HALL - ROOM 170 - FACULTY PRACTICE, STONY BROOK, NY 11794-8705
(631) 632-8971
(631) 632-7658
Mailing address
STONY BROOK DENTAL ASSOCIATES INC, SULLIVAN HALL - ROOM 170 - FACULTY PRACTICE, STONY BROOK, NY 11794-8705
(631) 632-8971
(631) 632-7658
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
50 050928
NY
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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