Individual
DR. KEVIN ALLEN BRUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2 DOCTORS PARK, GIBSON CITY, IL 60936-2000
(217) 784-4455
(217) 784-4383
Mailing address
2 DOCTORS PARK, P. O. BOX 206, GIBSON CITY, IL 60936-2000
(217) 784-4455
(217) 784-4383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023571
IL
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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