LARRY DAVID WRUCK

NEW BERLIN, WI
NPI1760533459
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  1632G)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
Dr. LARRY DAVID WRUCK D.D.S.
15855 W NATIONAL AVE SUITE 104
NEW BERLIN, WI 53151-5159
Phone number: 262-782-4220
Mailing Address
Dr. LARRY DAVID WRUCK D.D.S.
15855 W NATIONAL AVE SUITE 104
NEW BERLIN, WI 53151-5159
Phone number: 262-782-4220