Individual
V BRUCE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9405
Mailing address
PO BOX 17745, MUNDS PARK, AZ 86017-7745
(928) 522-9400
(928) 774-4808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010487
AZ
1223G0001X
General Practice Dentistry
DE00009892
WA
Other
Enumeration date
10/12/2006
Last updated
05/13/2026
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