DR. Dwane Richard Bruick, DDS

NPI #1740255991 in Fort Wayne, Indiana

Provider Information

NPI Number: 1740255991
Entity Type: Individual
Name: DR. Dwane Richard Bruick, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6405 GEORGETOWN NORTH BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46815-7007
Phone: (260) 485-0583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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