JACOB ANDREW PRUSSMAN

HONOLULU, HI
NPI1679250575
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: HI  DT-3247)
Enumeration Date2023-07-03
Last Update Date2026-07-24
Business Address
JACOB ANDREW PRUSSMAN
1857 PALOLO AVE
HONOLULU, HI 96816-2925
Phone number: 516-673-8571
Mailing Address
JACOB ANDREW PRUSSMAN
1857 PALOLO AVE
HONOLULU, HI 96816-2925
Phone number:
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