Individual
CRAIG S BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
HWY 160 & MP 394.3, KAYENTA, AZ 86033
(928) 697-4000
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 697-4000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5875
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691875
—
AZ
Enumeration date
06/08/2006
Last updated
01/07/2019
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