DWANE RICHARD BRUICK

FORT WAYNE, IN
NPI1740255991
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy122300000X Dentist
(Licence: IN  12008370)
Enumeration Date2006-02-21
Last Update Date2007-07-08
Business Address
DR. DWANE RICHARD BRUICK DDS
6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815-7007
Phone number: 260-485-0583
Mailing Address
DR. DWANE RICHARD BRUICK DDS
6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815-7007
Phone number: 260-485-0583
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