ERIC A PROUTY

COSTA MESA, CA
NPI1609836469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  32651)
Enumeration Date2006-03-24
Last Update Date2008-03-28
Business Address
Dr. ERIC A PROUTY D.M.D.
3151 AIRWAY AVE SUITE M2
COSTA MESA, CA 92626-4607
Phone number: 714-668-9811
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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