Individual
DR. BRUCE W MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
812 SOUTH 24TH STREET, BETHANY, MO 64424-1322
(660) 425-3331
Mailing address
812 SOUTH 24TH STREET, BETHANY, MO 64424-1322
(660) 425-3331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12719
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400226007
—
MO
Enumeration date
01/24/2006
Last updated
11/17/2008
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