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1013087790
PETER H PRUDEN
HUNTINGTON, NY
NPI
1013087790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NY 034661)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
Dr. PETER H PRUDEN D.D.S.
177 MAIN ST STE 102
HUNTINGTON, NY 11743-6917
Phone number: 631-421-2471
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Mailing Address
Dr. PETER H PRUDEN D.D.S.
177 MAIN ST STE 102
HUNTINGTON, NY 11743-6917
Phone number: 631-421-2471
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