MARK G PRUSACKI

PHOENIX, AZ
NPI1467667071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: AZ  4705)
Enumeration Date2007-05-14
Last Update Date2013-06-27
Business Address
DR. MARK G PRUSACKI DDS
16415 S 46TH WAY
PHOENIX, AZ 85048-0158
Phone number: 480-567-4212
Mailing Address
DR. MARK G PRUSACKI DDS
16415 S 46TH WAY
PHOENIX, AZ 85048-0158
Phone number: 480-753-0529
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