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1538394580
MATTHEW JAMES BRUKSCH
ROCKFORD, IL
NPI
1538394580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL 019.027906)
Enumeration Date
2009-05-20
Last Update Date
2019-01-08
Business Address
Mr. MATTHEW JAMES BRUKSCH DDS FACS
449 ROXBURY ROAD
ROCKFORD, IL 61107
Phone number: 815-226-4700
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Mailing Address
Mr. MATTHEW JAMES BRUKSCH DDS FACS
449 ROXBURY ROAD
ROCKFORD, IL 61107
Phone number: 815-226-4700
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