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1972261527
PRUDEN FAMILY DENTISTRY
SUFFOLK, VA
NPI
1972261527
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Entity Type
Organization
Authorized Contact
DONNA RENEE JOHNSON
General Manager
757-357-4121
Organization Subpart ?
Yes
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
PRUDEN FAMILY DENTISTRY
2303 PRUDEN BLVD
SUFFOLK, VA 23434-4330
Phone number: 757-539-9481
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Mailing Address
PRUDEN FAMILY DENTISTRY
2303 PRUDEN BLVD
SUFFOLK, VA 23434-4330
Phone number: 757-539-9481
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