DR. Jack L Brickner, DDS

NPI #1215086566 in Appleton, Wisconsin

Provider Information

NPI Number
1215086566
Entity Type
Individual
Name
DR. Jack L Brickner, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jan 9, 2007
Last Updated
Jan 15, 2009

Practice Location

Address
5553 WATERFORD LN
ZIP Code
54913-8468
Phone
(920) 739-7165

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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