Bruce William Leberecht, DDS

NPI #1730223355 in West Bend, Wisconsin

Provider Information

NPI Number: 1730223355
Entity Type: Individual
Name: Bruce William Leberecht, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1345 CHESTNUT ST
City: West Bend
State: Wisconsin
ZIP Code: 53095
Phone: (262) 338-6624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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