Individual
BRUCE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22010 17TH AVE SE, #B, BOTHELL, WA 98021-8486
(425) 481-8571
Mailing address
5919 117TH PL SW, MUKILTEO, WA 98275-4879
(425) 349-3283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6139
WA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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