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1316049430
DIRK GLEN PRUSIA
ALTAMONTE SPRINGS, FL
NPI
1316049430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 10599)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business 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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Mailing Address
Dr. DIRK GLEN PRUSIA DDS
151 S WYMORE RD SUITE 600
ALTAMONTE SPRINGS, FL 32714
Phone number: 407-862-8158
Copy
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