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1740448232
BRUICK DENTISTRY PC
FORT WAYNE, IN
NPI
1740448232
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Entity Type
Organization
Authorized Contact
DWANE R BRUICK
Owner
260-485-0583
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 8370)
Enumeration Date
2008-05-30
Last Update Date
2008-05-30
Business Address
BRUICK DENTISTRY PC
6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815-7007
Phone number: 260-485-0583
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Mailing Address
BRUICK DENTISTRY PC
6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815-7007
Phone number: 260-485-0583
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