Individual
BRUCE GOPMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1119 S DIXIE FWY, NEW SMYRNA BEACH, FL 32168-7473
(386) 428-3228
(386) 428-3229
Mailing address
2502 N ROCKY POINT DR, SUITE 1000 - CREDENTIALING, TAMPA, FL 33607-1421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10290
FL
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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