Individual
BRUCE LANE WELSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
745 E. JOYCE, SUITE 221, FAYETTEVILLE, AR 72703
(479) 443-1849
(479) 443-2034
Mailing address
406 S EAST AVE, FAYETTEVILLE, AR 72701-6046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2608
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71-0764541
—
AR
Enumeration date
11/30/2006
Last updated
10/30/2009
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