Individual
DR. RONNI DARA BRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
403 WASHINGTON LN, JENKINTOWN, PA 19046-3123
(215) 576-5805
(215) 576-8998
Mailing address
1830 LOMBARD ST, APT 8A, PHILADELPHIA, PA 19146-4003
(267) 253-3048
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS036769
PA
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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