| NPI | 1427299874 |
|---|---|
| Other Name | JENNIFER H. PRUITT, D.M.D. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. PRUITT Personal Represenative Of Estate 256-820-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 5161) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |