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Organization
DUSTIN J. PRUSIK, DDS, PA
Active
Organization
DUSTIN J. PRUSIK, DDS, PA
Active
Other names
Olive Chapel Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN JACOB PRUSIK D.D.S. (OWNER/PRESIDENT)
(919) 345-1501
Entity
Organization
Contact information
Practice address
1801 OLIVE CHAPEL RD, SUITE 105, APEX, NC 27502
(919) 345-1501
Mailing address
230 DOVE COTTAGE LN, CARY, NC 27519-0505
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9726
NC
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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