Organization
G. ROBIN PRUITT, JR., D.M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AINSLEE BOSWELL (ADMINISTRATIVE ASSISTANT)
(205) 823-3223
Entity
Organization
Contact information
Practice address
2816 COLUMBIANA RD, VESTAVIA HILLS, AL 35216-2518
(205) 823-3223
Mailing address
2816 COLUMBIANA RD, VESTAVIA HILLS, AL 35216-2518
(205) 823-3223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4659
AL
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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