Individual
JOSHUA PRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
92 BROOKSHIRE LN, BECKLEY, WV 25801-6765
(304) 255-0020
Mailing address
92 BROOKSHIRE LN, BECKLEY, WV 25801-6765
(304) 255-0020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3999
WV
1223E0200X
Endodontics
Primary
3999
WV
Other
Enumeration date
02/28/2013
Last updated
05/13/2021
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