Individual
CARY A PRUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 THORNTON ST, THREE RIVERS, TX 78071
(361) 786-2559
(361) 786-2559
Mailing address
PO BOX 1068, THREE RIVERS, TX 78071
(361) 786-2559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
746006
CHIP
TX
Enumeration date
05/08/2007
Last updated
07/08/2007
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