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Individual

DR. JAMES RANDALL BRUNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1401 E DIVERSION DAM ROAD, CENTRAL ARIZONA CORRECTIONAL FACILITY, FLORENCE, AZ 85132
(520) 868-4809
Mailing address
2511 HIGHLAND TRAIL, BULLHEAD CITY, AZ 86442-8757
(928) 757-3280

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4179
NV
1223G0001X
General Practice Dentistry
Primary
D6379
AZ

Other

Enumeration date
05/24/2007
Last updated
05/29/2015
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