Individual
DR. BRUCE R WREGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7373 E 21ST ST, INDIANAPOLIS, IN 46219-1718
(317) 357-7373
(317) 353-2330
Mailing address
7373 E 21ST ST, INDIANAPOLIS, IN 46219-1718
(317) 357-7373
(317) 353-2330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007402A
IN
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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