Individual
DR. BRUCE R BRAGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 MATHES TER, DURHAM, NH 03824-2302
(603) 868-5129
(603) 868-5142
Mailing address
10 MATHES TER, DURHAM, NH 03824-2302
(603) 868-5129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1375
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89191854
—
NH
Enumeration date
06/10/2006
Last updated
05/29/2008
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