DR. Kevin Allen Brucker, D.M.D.
NPI #1295807154 in Gibson City, Illinois
Provider Information
- NPI Number
- 1295807154
- Entity Type
- Individual
- Name
- DR. Kevin Allen Brucker, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2 DOCTORS PARK
- City
- Gibson City
- State
- Illinois
- ZIP Code
- 60936-2000
- Phone
- (217) 784-4455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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