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Organization
PF DENT, PA
Active
Organization
PF DENT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK HEATH PRUITT DMD (MANAGER)
(352) 875-1729
Entity
Organization
Contact information
Practice address
205 ZEAGLER DR STE 502, PALATKA, FL 32177-3887
(386) 328-1500
Mailing address
2555 COUNTRY CLUB BLVD, ORANGE PARK, FL 32073-5711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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