| Melinda Wheeler Pruitt Dds, Inc | |
|
1245 16th St Ste 209 Santa Monica CA 90404-1240 | |
| (310) 453-1223 | |
| (310) 453-8757 |
| Full Name | Melinda Wheeler Pruitt Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 1245 16th St Ste 209, Santa Monica, California |
| Authorized Official Name and Position | Melinda Wheeler Pruitt (OWNER/DENTIST) |
| Authorized Official Contact | 3104531223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Wheeler Pruitt Dds, Inc 1245 16th St Ste 209 Santa Monica CA 90404-1240 Ph: (310) 453-1223 | Melinda Wheeler Pruitt Dds, Inc 1245 16th St Ste 209 Santa Monica CA 90404-1240 Ph: (310) 453-1223 |
| NPI Number | 1104066455 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 02/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104066455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49719 (California) | Primary |
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