Taber, Bruce Lee

Taber, Bruce Lee is an individual health care provider with primary practice located at 25835 Barton Rd. Ste 104, Loma Linda CA 92354. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Taber, Bruce Lee can be contacted via phone (909) 796-2299.

Contact Information

Primary practice address
25835 Barton Rd. Ste 104 Loma Linda CA 92354
Phone: (909) 796-2299
Fax: (909) 796-2509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 34906 California

Profile Details

NPI number 1346670627
LBN Legal business name Taber, Bruce Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2013
Last updated Nov 22nd, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346670627 NPPES
California Other 1538368154 DENTIST

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