Individual
DR. BRUCE FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2155 WEBSTER ST, SAN FRANCISCO, CA 94115-2333
(415) 929-6528
Mailing address
27950 ROBLE BLANCO DR, LOS ALTOS HILLS, CA 94022-2464
(650) 948-4815
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21366
CA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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