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DR. RUDOLPH GREGORY BRUEHL D.D.S.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1487745014
Individual Registrant:DR. RUDOLPH GREGORY BRUEHL D.D.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2600 SILVER CREEK RD BULLHEAD CITY, AZ 86442-8337 US
Tel: 928-763-5565 Fax: 928-763-7107
Tel: 928-763-5565 Fax: 928-763-7107
Contact information for business:
2600 SILVER CREEK RD BULLHEAD CITY, AZ 86442-8337 US
Tel: 928-763-5565 Fax: 928-763-7107
Tel: 928-763-5565 Fax: 928-763-7107
Registration Information:
NPI: 1487745014
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | AZ | D4086 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
