| Sean Prusky Dds Inc | |
|
500 S Sepulveda Blvd Manhattan Beach CA 90266-6948 | |
| (310) 683-5576 | |
| Not Available |
| Full Name | Sean Prusky Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 500 S Sepulveda Blvd, Manhattan Beach, California |
| Authorized Official Name and Position | Sean Prusky (ORTHODONTIST) |
| Authorized Official Contact | 4242549245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Prusky Dds Inc 500 S Sepulveda Blvd Ste 301 Manhattan Beach CA 90266-6976 Ph: () - | Sean Prusky Dds Inc 500 S Sepulveda Blvd Manhattan Beach CA 90266-6948 Ph: (310) 683-5576 |
| NPI Number | 1447803259 |
|---|---|
| Provider Enumeration Date | 07/21/2019 |
| Last Update Date | 07/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447803259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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