Jeffrey D Pruiett DMD

NPI 1366507683 - Dentist - 122300000X

NPI Details
NPI 1366507683
Gender Male
Enumeration Date 12/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
719 N 39TH AVE
SUITE 102
YAKIMA WA, 98902-6302, US
Phone (509) 453-3350
Fax (509) 453-3360
Business Location
719 N 39TH AVE
SUITE 102
YAKIMA WA, 98902-6302, US
Phone (509) 453-3350
Fax (509) 453-3860
Toxanomy
Taxonomy Code 122300000X
License State Washington
License Number DE00006385
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According to our database, Mr. Jeffrey D Pruiett DMD NPI is 1366507683, taxonomy code is 122300000X and license number is DE00006385, license state is located at Washington. Jeffrey D Pruiett DMD physically located at 719 N 39th Ave, Yakima WA, 98902-6302. NPI Number Jeffrey D Pruiett DMD has the Individual type.

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1366507683 NPI number is provided on an as is basis without warranty of any kind. 1366507683 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey D Pruiett DMD are for informational purposes only.