Individual
DR. RONALD J PRUHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4120 S LAKE DR, APT. 251, SAINT FRANCIS, WI 53235-5954
(920) 693-2992
Mailing address
4120 S LAKE DR, APT. 251, SAINT FRANCIS, WI 53235-5954
(920) 693-2992
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5000087-15
WI
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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