Individual
DR. BRUCE DEWAR MCKELVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
4466 BLACK AVE STE B, PLEASANTON, CA 94566-6130
(925) 484-0200
(925) 484-0460
Mailing address
4466 BLACK AVE STE B, PLEASANTON, CA 94566-6130
(925) 484-0200
(925) 484-0460
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
26682
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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