Individual
DR. BRUCE OLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
653 FRANKLIN AVE, NUTLEY, NJ 07110-1209
(973) 667-0771
Mailing address
653 FRANKLIN AVE, NUTLEY, NJ 07110-1209
(973) 667-0771
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10720
NJ
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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