Individual
MATTHEW THOMAS PRUHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
W178N9201 WATERTOWER PLACE, SUITE 100, MENOMONEE FALLS, WI 53051
(262) 251-8704
(262) 251-8341
Mailing address
W178N9201 WATERTOWER PLACE, SUITE 100, MENOMONEE FALLS, WI 53051
(262) 251-8704
(262) 251-8341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0155334
WI
Other
Enumeration date
03/20/2007
Last updated
07/07/2015
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