Individual
DR. BRUCE HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
203 W VINE ST, FORT BRANCH, IN 47648-1035
(812) 753-3439
Mailing address
203 W VINE ST, FORT BRANCH, IN 47648-1035
(812) 753-3439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008257A
IN
Other
Enumeration date
07/31/2006
Last updated
07/21/2022
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