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1730223355
BRUCE WILLIAM LEBERECHT
WEST BEND, WI
NPI
1730223355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 5000972015)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
-- BRUCE WILLIAM LEBERECHT DDS
1345 CHESTNUT ST
WEST BEND, WI 53095
Phone number: 262-338-6624
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Mailing Address
-- BRUCE WILLIAM LEBERECHT DDS
1345 CHESTNUT ST
WEST BEND, WI 53095
Phone number: 262-338-6624
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