RANDALL BRUCKEN

LAFAYETTE, IN
NPI1548473416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12010142)
Enumeration Date2007-05-08
Last Update Date2007-07-24
Business Address
Dr. RANDALL BRUCKEN D.D.S.
3711 ROME DRIVE SUITE A
LAFAYETTE, IN 47905
Phone number: 765-742-3100
Mailing Address
Dr. RANDALL BRUCKEN D.D.S.
1741 CUNNINGHAM ROAD
SPEEDWAY, IN 46224
Phone number: 765-742-3100
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