person
Dr. Mark John Bruzek, DDS,MS
Pediatric Dentist in Hermantown, Minnesota
NPI 1568687044

Mark John Bruzek is a Pediatric Dentist based in Hermantown, MN and is specialized in Pediatric Dentistry. Mark John Bruzek practices in Hermantown, MN and has the professional credentials of DDS,MS. The NPI Number for Mark John Bruzek is 1568687044 and holds a License No. 3444 (Minnesota).

The current practice location address for Mark John Bruzek is 4419 Air Base Road, Hermantown, MN and can be reached out via phone at 218-728-2117 and via fax at 218-728-2700.

Location: 4419 Air Base Road, Hermantown, MN, 55811
person
Provider Profile Details
NPI Number
1568687044
Provider Name
Mark John Bruzek
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
4419 Air Base Road, Hermantown, MN, 55811
Phone Number
218-728-2117
Fax Number
218-728-2700
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33473800 05 WI
3444 01 WI DELTA DENTAL WI ID#
institution
Provider Business Practice Location Address Details
Address
4419 Air Base Road
City
State
Zip
55811
Phone Number
218-728-2117
Fax Number
218-728-2700
person
Provider Business Mailing Address Details
Address
4419 Air Base Road
City
State
Zip
55811
Phone Number
218-728-2117
Fax Number
218-728-2700
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3444 (Wisconsin)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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