Provider Demographics
NPI:1467448209
Name:FRIEDMAN, BRUCE DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:DAVID
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:BRUCE
Other - Middle Name:DAVID
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2201 W HOLCOMBE BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2096
Mailing Address - Country:US
Mailing Address - Phone:713-665-1818
Mailing Address - Fax:
Practice Address - Street 1:2201 W HOLCOMBE BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2096
Practice Address - Country:US
Practice Address - Phone:713-665-1818
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114171223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry