Bruin, Daniel Bradley

Bruin, Daniel Bradley is an individual health care provider with primary practice located at 6958 Nebraska Ave , Fort Leonard Wood MO 65473-1618. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Bruin, Daniel Bradley can be contacted via phone (573) 596-3038.

Contact Information

Primary practice address
6958 Nebraska Ave Fort Leonard Wood MO 65473-1618
Phone: (573) 596-3038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN20166 Florida
Dental Providers / Periodontics 1223P0300X DN20166 Florida

Profile Details

NPI number 1851730923
LBN Legal business name Bruin, Daniel Bradley
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2013
Last updated Jun 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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