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1174792022
BRUCE THOMPSON BLEIL
GULFPORT, MS
NPI
1174792022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MS 1475-72)
Enumeration Date
2008-02-25
Last Update Date
2011-01-20
Business Address
Dr. BRUCE THOMPSON BLEIL D.M.D.
15465 OAK LANE, STE. 100 - H
GULFPORT, MS 39503-3524
Phone number: 228-832-4450
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Mailing Address
Dr. BRUCE THOMPSON BLEIL D.M.D.
12210 LAKE FOREST DR
GULFPORT, MS 39503-5603
Phone number: 228-832-0089
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