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Organization
KEVIN M BRUNSKI DDS PC
Active
Organization
KEVIN M BRUNSKI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY J JACOBS (OFFICE MANAGER)
(219) 662-9932
Entity
Organization
Contact information
Practice address
1410 E JOLIET ST, SUITE D, CROWN POINT, IN 46307-4724
(219) 662-9932
(219) 663-9688
Mailing address
1410 E JOLIET ST, SUITE D, CROWN POINT, IN 46307-4724
(219) 662-9932
(219) 663-9688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009160
IN
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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