Individual
DR. KEVIN DONALD PRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30231 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48082-1787
(586) 775-2400
(586) 775-2406
Mailing address
30231 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48082-1787
(586) 775-2400
(586) 775-2406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015251
MI
Other
Enumeration date
04/13/2006
Last updated
08/25/2022
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