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Individual

DR. ALYSSA MARIE WRUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
6336 NY 25-A, SUITE 2, WADING RIVER, NY 11792
(631) 886-3141
Mailing address
6336 NY 25-A, SUITE 2, WADING RIVER, NY 11792
(631) 886-3141

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
059569-1
NY

Other

Enumeration date
05/28/2013
Last updated
11/21/2019
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