DR. Kevin Donald Prush, DDS
NPI #1982668372 in Saint Clair Shores, Michigan
Provider Information
- NPI Number
- 1982668372
- Entity Type
- Individual
- Name
- DR. Kevin Donald Prush, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 13, 2006
- Last Updated
- Aug 25, 2022
Practice Location
- Address
- 30231 JEFFERSON AVE
- State
- Michigan
- ZIP Code
- 48082-1787
- Phone
- (586) 775-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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