Individual
DR. BRUCE FRANK ANDREKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3726 ROOSEVELT RD, KENOSHA, WI 53142-1900
(262) 652-7956
Mailing address
3726 ROOSEVELT RD, KENOSHA, WI 53142-1900
(262) 652-7956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3650 WI
WI
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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