Individual
DR. RICHARD BRUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2796 SYCAMORE DR, SUITE 202, SIMI VALLEY, CA 93065-1546
(805) 522-0332
(805) 522-8350
Mailing address
2796 SYCAMORE DR, SUITE 202, SIMI VALLEY, CA 93065-1546
(805) 522-0332
(805) 522-8350
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
32034
CA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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