Leo Prusinski D.D.S.

NPI 1093782344 - Dentist - 122300000X

NPI Details
NPI 1093782344
Gender Male
Enumeration Date 03/07/2006
Last Updated 02/04/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND
ATTN: MEDICAL STAFF SERVICES BLDG. H
JACKSONVILLE FL, 32212-0140, US
Phone (904) 542-7200
Fax
Business Location
2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND
ATTN: MEDICAL STAFF SERVICES BLDG. H
JACKSONVILLE FL, 32212-0140, US
Phone (904) 542-7200
Fax
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12008653A
Remove 1093782344 NPI Number
 

According to our database, Dr. Leo Prusinski D.D.S. NPI is 1093782344, taxonomy code is 122300000X and license number is 12008653A, license state is located at Indiana. Leo Prusinski D.D.S. physically located at 2005 Knight Lane Navy Medicine Support Command, Jacksonville FL, 32212-0140. NPI Number Leo Prusinski D.D.S. has the Individual type.

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1093782344 NPI number is provided on an as is basis without warranty of any kind. 1093782344 is maintained by the National Plan & Provider Enumeration System. The contents of Leo Prusinski D.D.S. are for informational purposes only.