Individual
DR. DAVID W PRUSAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9291 GLADES RD STE 301, BOCA RATON, FL 33434-3959
(973) 954-1394
Mailing address
9291 GLADES RD STE 301, BOCA RATON, FL 33434-3959
(973) 954-1394
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS035107
PA
1223E0200X
Endodontics
053268-1
NY
1223E0200X
Endodontics
Primary
DN18422
FL
Other
Enumeration date
05/15/2007
Last updated
06/04/2009
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