Individual
AMBER NICOLE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
Mailing address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3731
OK
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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