Individual
BRUCE FREDERICK NIXON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3430 COLBY AVE, EVERETT, WA 98201-4710
(425) 259-6551
(425) 258-0477
Mailing address
3430 COLBY AVE, EVERETT, WA 98201-4710
(425) 259-6551
(425) 258-0477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00004521
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5516000
DEPT OF SOCIAL & HEALTH
WA
Enumeration date
08/31/2005
Last updated
07/08/2007
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