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1609836469
ERIC A PROUTY
COSTA MESA, CA
NPI
1609836469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 32651)
Enumeration Date
2006-03-24
Last Update Date
2008-03-28
Business Address
Dr. ERIC A PROUTY D.M.D.
3151 AIRWAY AVE SUITE M2
COSTA MESA, CA 92626-4607
Phone number: 714-668-9811
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Mailing Address
Dr. ERIC A PROUTY D.M.D.
2 CUERVO DR
ALISO VIEJO, CA 92656-1742
Phone number: 949-837-3593
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