DR. Richard Bruckner, D.D.S.

NPI #1336208453 in Simi Valley, California

Provider Information

NPI Number: 1336208453
Entity Type: Individual
Name: DR. Richard Bruckner, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: D.D.S.
Enumeration Date: Dec 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2796 SYCAMORE DR
Address 2: SUITE 202
City: Simi Valley
State: California
ZIP Code: 93065-1546
Phone: (805) 522-0332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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