| John M Bruce Iii Dmd Pc | |
|
1744 N Mitchell Boise ID 83704 | |
| (208) 322-1263 | |
| (208) 322-5662 |
| Full Name | John M Bruce Iii Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 1744 N Mitchell, Boise, Idaho |
| Authorized Official Name and Position | John M Bruce (OWNER) |
| Authorized Official Contact | 2083221263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Bruce Iii Dmd Pc 1744 N Mitchell Boise ID 83704 Ph: (208) 322-1263 | John M Bruce Iii Dmd Pc 1744 N Mitchell Boise ID 83704 Ph: (208) 322-1263 |
| NPI Number | 1588822449 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 05/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588822449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D1770 (Idaho) | Primary |
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