Organization
BRUICK DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWANE R BRUICK DDS (OWNER)
(260) 485-0583
Entity
Organization
Contact information
Practice address
6405 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815-7007
(260) 485-0583
(260) 485-8029
Mailing address
6405 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815-7007
(260) 485-0583
(260) 485-8029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8370
IN
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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