DIRK GLEN PRUSIA

ALTAMONTE SPRINGS, FL
NPI1316049430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: FL  10599)
Enumeration Date2006-09-01
Last Update Date2007-07-08
Business Address
DR. DIRK GLEN PRUSIA DDS
151 S WYMORE RD SUITE 600
ALTAMONTE SPRINGS, FL 32714
Phone number: 407-862-8158
Mailing Address
DR. DIRK GLEN PRUSIA DDS
151 S WYMORE RD SUITE 600
ALTAMONTE SPRINGS, FL 32714
Phone number: 407-862-8158
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