Individual
DR. BRUCE EDWARD FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9336 DESCHUTES RD, PALO CEDRO, CA 96073-9763
(530) 547-5744
(530) 547-5791
Mailing address
9348 DESCHUTES RD STE A, PALO CEDRO, CA 96073-8730
(530) 547-5744
(530) 547-5791
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43003
CA
Other
Enumeration date
10/04/2006
Last updated
02/07/2018
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