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NPI Code Detail

MEDICARE: DR. BRUNO KALDRE DDS

MEDICARE: DR. BRUNO KALDRE DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryNC 6686NC

General Provider Information

NPI Number : 1710990171
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUNO KALDRE DDS
Provider Business Mailing Address
First Line : 1830 LAKESIDE DR
Second Line :
City : FRANKLIN
State : NC
Zip : 28734-6778
Country : US
Telephone Number : 828-349-2081
Fax Number : 828-524-6154
Provider Business Practice Location Address
First Line : 1830 LAKESIDE DR
Second Line :
City : FRANKLIN
State : NC
Zip : 28734-6778
Country : US
Telephone Number : 828-349-2081
Fax Number : 828-524-6154
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 08/09/2016

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Directions to “ DR. BRUNO KALDRE DDS” Practice Location

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