Wittenberg, Bruce Robert

Wittenberg, Bruce Robert is an individual health care provider with primary practice located at 512 66Th Ave N , Brooklyn Center MN 55430-1643. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wittenberg, Bruce Robert can be contacted via phone (763) 560-3334.

Contact Information

Primary practice address
512 66Th Ave N Brooklyn Center MN 55430-1643
Phone: (763) 560-3334
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9625 Minnesota

Profile Details

NPI number 1467429753
LBN Legal business name Wittenberg, Bruce Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2006
Last updated Mar 25th, 2015 - about 10 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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