Organization
NEWBURGH SMILE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD G PRUSZ DDS (DENTIST)
(812) 853-2961
Entity
Organization
Contact information
Practice address
8099 ROSE HILL DR, NEWBURGH, IN 47630-2384
(812) 853-2961
Mailing address
8099 ROSE HILL DR, NEWBURGH, IN 47630-2384
(812) 853-2961
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12007170B
IN
261QD0000X
Dental Clinic/Center
12010766A
IN
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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