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Organization

MELINDA WHEELER PRUITT DDS, INC

Active
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Organization

MELINDA WHEELER PRUITT DDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELINDA WHEELER PRUITT DDS (OWNER/DENTIST)
(310) 453-1223
Entity
Organization

Contact information

Practice address
1245 16TH ST STE 209, SANTA MONICA, CA 90404-1240
(310) 453-1223
(310) 453-8757
Mailing address
1245 16TH ST STE 209, SANTA MONICA, CA 90404-1240
(310) 453-1223
(310) 453-8757

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49719
CA

Other

Enumeration date
02/26/2009
Last updated
02/26/2009
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