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1508020330
LOUIS ROBERT PRUSACK
SOUTHAMPTON, PA
NPI
1508020330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: PA DS016805L)
Enumeration Date
2008-07-10
Last Update Date
2008-07-10
Business Address
-- LOUIS ROBERT PRUSACK dds
57 STREET RD
SOUTHAMPTON, PA 18966-3100
Phone number: 215-355-3513
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Mailing Address
-- LOUIS ROBERT PRUSACK dds
57 STREET RD
SOUTHAMPTON, PA 18966-3100
Phone number: 215-355-3513
Copy
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