Organization
BRUCE A MATER DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ALAN MATER DDS (OWNER)
(812) 288-9300
Entity
Organization
Contact information
Practice address
2948 HWY 62, JEFFERSONVILLE, IN 47130-7293
(812) 288-9300
(812) 288-9602
Mailing address
2948 HWY 62, JEFFERSONVILLE, IN 47130-7293
(812) 288-9300
(812) 288-9602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7886
IN
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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