Dr. RANDALL BRUCKEN -- D.D.S.
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1548473416- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S.
- Status
- Active
Contact & Location
- Address
- 3711 ROME DRIVE SUITE A, LAFAYETTE, IN, 47905
- Phone
- (765) 742-3100
- Fax
- (765) 742-0152
Specialties & Taxonomies
Dentist, General Practice
Primary License: IN #12010142