DARRELL KELLUS PRUITT

FORT WORTH, TX
NPI1689911349
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  13388)
Enumeration Date2013-01-14
Last Update Date2013-01-14
Business Address
Dr. DARRELL KELLUS PRUITT DDS
6737 BRENTWOOD STAIR RD #220
FORT WORTH, TX 76112-3348
Phone number: 817-451-2323
Mailing Address
Dr. DARRELL KELLUS PRUITT DDS
6737 BRENTWOOD STAIR RD #220
FORT WORTH, TX 76112-3348
Phone number: 817-451-2323
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