Organization
JEFFREY D PRUIETT DMD
Active
Other names
Jeffrey D Pruiett
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY DONALD PRUIETT DMD (OWNER)
(509) 453-3350
Entity
Organization
Contact information
Practice address
719 N 39TH AVE STE 102, YAKIMA, WA 98902-6302
(509) 453-3350
(509) 453-3360
Mailing address
719 N 39TH AVE STE 102, YAKIMA, WA 98902-6302
(509) 453-3350
(509) 453-3360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6385
WA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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