DR. Kevin M Bruggeman, DDS

NPI #1275606287 in Crystal Lake, Illinois

Provider Information

NPI Number: 1275606287
Entity Type: Individual
Name: DR. Kevin M Bruggeman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 17 S VIRGINIA ROAD
City: Crystal Lake
State: Illinois
ZIP Code: 60014
Phone: (815) 455-3123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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