Lydia Julianna Bruce, DDS

NPI #1104494061 in Wichita, Kansas

Provider Information

NPI Number: 1104494061
Entity Type: Individual
Name: Lydia Julianna Bruce, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 16, 2021
Last Updated: Jun 16, 2021

Practice Location

Address: 527 N GROVE ST
City: Wichita
State: Kansas
ZIP Code: 67214-4520
Phone: (316) 262-2415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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