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1417357278
NATHAN TRUCKENBROD
MILWAUKEE, WI
NPI
1417357278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 1000997-15)
Enumeration Date
2014-08-29
Last Update Date
2014-08-29
Business Address
-- NATHAN TRUCKENBROD D.D.S.
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 415-205-8401
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Mailing Address
-- NATHAN TRUCKENBROD D.D.S.
4240 S RAVINIA DR APT 102
GREENFIELD, WI 53221-5714
Phone number: 415-205-8401
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