Tallahassee Facial Pain Center Pa

NPI 1205055787 - Dentist - 122300000X

NPI Details
NPI 1205055787
Enumeration Date 04/24/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRUCE ARTHUR BRUCE
Position PRESIDENT
Phone (850) 309-0095
Fax
Practice Location
2880 CAPITAL MEDICAL BLVD
SUITE 1
TALLAHASSEE FL, 32308-4671, US
Phone (850) 309-0095
Fax
Business Location
2880 CAPITAL MEDICAL BLVD
SUITE 1
TALLAHASSEE FL, 32308-4671, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN15520
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According to our database, Tallahassee Facial Pain Center Pa NPI is 1205055787, taxonomy code is 122300000X and license number is DN15520, license state is located at Florida. Tallahassee Facial Pain Center Pa physically located at 2880 Capital Medical Blvd, Tallahassee FL, 32308-4671. NPI Number 1033115704 has the healthcare provider type.

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1205055787 NPI number is provided on an as is basis without warranty of any kind. 1205055787 is maintained by the National Plan & Provider Enumeration System. The contents of Tallahassee Facial Pain Center Pa are for informational purposes only.