LOUIS ROBERT PRUSACK

SOUTHAMPTON, PA
NPI1508020330
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: PA  DS016805L)
Enumeration Date2008-07-10
Last Update Date2008-07-10
Business Address
-- LOUIS ROBERT PRUSACK dds
57 STREET RD
SOUTHAMPTON, PA 18966-3100
Phone number: 215-355-3513
Mailing Address
-- LOUIS ROBERT PRUSACK dds
57 STREET RD
SOUTHAMPTON, PA 18966-3100
Phone number: 215-355-3513