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1295045797
BRANDON ROGERS PRUSA
CHICAGO, IL
NPI
1295045797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019028511)
Enumeration Date
2010-10-18
Last Update Date
2010-10-18
Business Address
Dr. BRANDON ROGERS PRUSA DDS
4516 S DAMEN AVE
CHICAGO, IL 60609-3013
Phone number: 773-869-0200
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Mailing Address
Dr. BRANDON ROGERS PRUSA DDS
2348 N LISTER AVE APT 407
CHICAGO, IL 60614-2994
Phone number: 785-979-5147
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