Bruce Holmstrom D.d.s.,sc

NPI #1114029048 in Glendale, Wisconsin

Provider Information

NPI Number: 1114029048
Entity Type: Organization
Organization Name: Bruce Holmstrom D.d.s.,sc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5150 N PORT WASHINGTON RD
Address 2: SUITE 201
City: Glendale
State: Wisconsin
ZIP Code: 53217-5474
Phone: (414) 964-8850

Authorized Official

Name: DR. BRUCE E HOLMSTROM, D.D.S
Title: OWNER
Phone: (414) 964-8850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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