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1558791004
ELISE ELAINE PRUETT
COPPELL, TX
NPI
1558791004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 28899)
Enumeration Date
2013-11-20
Last Update Date
2020-07-21
Business Address
Mrs. ELISE ELAINE PRUETT D.D.S.
301 S DENTON TAP RD STE 110
COPPELL, TX 75019-3287
Phone number: 972-304-0891
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Mailing Address
Mrs. ELISE ELAINE PRUETT D.D.S.
301 S DENTON TAP RD STE 110
COPPELL, TX 75019-3287
Phone number: 972-304-0891
Copy
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