Individual
BRUCE FREDRICK BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22600 VENTURA BLVD, SUITE 204, WOODLAND HILLS, CA 91364-1414
(818) 225-0046
(818) 225-1318
Mailing address
22600 VENTURA BLVD, SUITE 204, WOODLAND HILLS, CA 91364-1414
(818) 225-0046
(818) 225-1318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27260
CA
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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