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1295854768
BRUCE L. WALTERS
APPLETON, WI
NPI
1295854768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 4776)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Dr. BRUCE L. WALTERS DDS
5740 W GRANDE MARKET DR
APPLETON, WI 54913-8406
Phone number: 920-735-9950
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Mailing Address
Dr. BRUCE L. WALTERS DDS
5740 W GRANDE MARKET DR
APPLETON, WI 54913-8406
Phone number: 920-735-9950
Copy
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