Individual
DR. BRENDA JANE GLOOR PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
214 S. MAIN ST., TOPEKA, IN 46571
(260) 593-2160
Mailing address
PO BOX 397, TOPEKA, IN 46571-0397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007709
IN
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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