Organization
DUSTIN J. PRUSIK, DDS, PA
Active
Other names
Olive Chapel Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN JACOB PRUSIK D.D.S. (OWNER/PRESIDENT)
(919) 345-1501
Entity
Organization
Contact information
Practice address
1801 OLIVE CHAPEL RD, SUITE 105, APEX, NC 27502
(919) 345-1501
Mailing address
230 DOVE COTTAGE LN, CARY, NC 27519-0505
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9726
NC
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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