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Brian Bouck, DDS
NPI 1073757910 · on the registry since 2009
Practice
- Address
- 315 E San Marnan Dr
Waterloo, IA 50702 - Phone
- (319) 235-6287
- Organisation at this address
- Kpt Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa