Organization
SEAN PRUSKY DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN PRUSKY (ORTHODONTIST)
(424) 254-9245
Entity
Organization
Contact information
Practice address
500 S SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-6948
(310) 683-5576
Mailing address
500 S SEPULVEDA BLVD STE 301, MANHATTAN BEACH, CA 90266-6976
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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