Individual
BRUCE ALAN ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PHARMD
Contact information
Practice address
1615 TRUEMPER ST, JBSA LACKLAND, TX 78236-5511
(210) 292-8980
Mailing address
WILFORD HALL AMB SURG CENTER JBSA LACKLAND, AB, TX, JBSA LACKLAND, TX 78259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27904
FL
183500000X
Pharmacist
1111111111
TN
Other
Enumeration date
07/12/2011
Last updated
09/26/2025
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