| Pruden Family Dentistry | |
|
2303 Pruden Blvd Suffolk VA 23434-4330 | |
| (757) 539-9481 | |
| Not Available |
| Full Name | Pruden Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2303 Pruden Blvd, Suffolk, Virginia |
| Authorized Official Name and Position | Donna Renee Johnson (GENERAL MANAGER) |
| Authorized Official Contact | 7573574121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pruden Family Dentistry 2303 Pruden Blvd Suffolk VA 23434-4330 Ph: (757) 539-9481 | Pruden Family Dentistry 2303 Pruden Blvd Suffolk VA 23434-4330 Ph: (757) 539-9481 |
| NPI Number | 1972261527 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972261527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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