Jeffrey D Pruiett Dmd

NPI #1588017545 in Yakima, Washington

Provider Information

NPI Number: 1588017545
Entity Type: Organization
Organization Name: Jeffrey D Pruiett Dmd
Primary Specialty: Dentist
Enumeration Date: Jul 14, 2016
Last Updated: Jul 14, 2016

Practice Location

Address: 719 N 39TH AVE STE 102
City: Yakima
State: Washington
ZIP Code: 98902-6302
Phone: (509) 453-3350

Authorized Official

Name: MR. JEFFREY DONALD PRUIETT, DMD
Title: OWNER
Phone: (509) 453-3350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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