Individual
SEAN DAVID PRUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 S SEPULVEDA BLVD STE 301, MANHATTAN BEACH, CA 90266-6976
(310) 754-5460
Mailing address
500 S SEPULVEDA BLVD STE 301, MANHATTAN BEACH, CA 90266-6976
(310) 754-5460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
60671
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60671
CA
Other
Enumeration date
08/25/2011
Last updated
06/28/2019
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