Individual
DR. BRUCE MICHAEL CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8000 NW 80TH PLACE, RAIFORD, FL 32083
(904) 368-1477
Mailing address
13689 MARKHAM HILL DRIVE, JACKSONVILLE, FL 32225
(904) 614-0377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 9564
FL
Other
Enumeration date
06/06/2006
Last updated
11/06/2020
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