Individual
ANDREW STEPHEN PROUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
658 LEVERING ST, BLUE BELL, PA 19422-1874
(215) 470-8662
Mailing address
658 LEVERING ST, BLUE BELL, PA 19422-1874
(215) 470-8662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019691L
PA
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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