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1578601183
BRUCE STEPHEN CUSIC
FAIRFIELD, AL
NPI
1578601183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 3240)
Enumeration Date
2007-02-03
Last Update Date
2007-07-08
Business Address
Dr. BRUCE STEPHEN CUSIC D.M.D.
6200 EJ OLIVER BLVD SUITE 95
FAIRFIELD, AL 35064-1299
Phone number: 205-788-9200
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Mailing Address
Dr. BRUCE STEPHEN CUSIC D.M.D.
3600 CHAUMONT DR
BIRMINGHAM, AL 35223-2202
Phone number: 205-967-0802
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