Individual
DR. BRUCE LEE YODER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1880 POTTERY AVE, PORT ORCHARD, WA 98366-2518
(360) 895-4321
(360) 895-4326
Mailing address
9033 GENESIS LN SE, PORT ORCHARD, WA 98367-9742
(360) 895-4181
(360) 895-4326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5975
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5025796
—
WA
01
—
5975
WASHINGTON DENTAL SERVICE
WA
Enumeration date
01/03/2006
Last updated
07/08/2007
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