Individual
DR. JILL S USAN BRUECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
66 RIDGEDALE AVE, FLORHAM PARK, NJ 07932-2006
(973) 377-1174
(973) 377-4721
Mailing address
66 RIDGEDALE AVE, FLORHAM PARK, NJ 07932-2006
(973) 377-1174
(973) 377-4721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI16076
NJ
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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