NPI | 1982450045 |
---|---|
Doing Business As | PRUITT DENTISTRY |
Entity Type | Organization |
Authorized Contact | PATRICK HEATH PRUITT Owner/Dentist 352-732-3985 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-04-29 |
Last Update Date | 2024-04-29 |