Individual
MRS. SARAH J WRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
23140 WHITEHALL ROAD, INDEPENDENCE, WI 54747-0125
(715) 985-2391
(715) 985-2581
Mailing address
26355 274TH AVE, HOLCOMBE, WI 54745-8765
(715) 595-4788
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5946-016
WI
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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