Individual
DR. IRVING BRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1369 49TH ST, BROOKLYN, NY 11219-3133
(718) 436-0300
Mailing address
1369 49TH ST, BROOKLYN, NY 11219-3133
(718) 436-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046402
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02259236
—
NY
Enumeration date
10/04/2006
Last updated
07/08/2007
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