DR. Larry David Wruck, D.D.S.
NPI #1760533459 in New Berlin, Wisconsin
Provider Information
- NPI Number
- 1760533459
- Entity Type
- Individual
- Name
- DR. Larry David Wruck, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15855 W NATIONAL AVE
- Address 2
- SUITE 104
- City
- New Berlin
- State
- Wisconsin
- ZIP Code
- 53151-5159
- Phone
- (262) 782-4220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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