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Contact Information

JULIE A PRUNESKI, DDS
690 COOPER FOSTER PARK RD
LORAIN, OH44053
 Phone: 440-282-2023
 Fax: 440-233-5401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JULIE A PRUNESKI · (Female)

NPI # 1275730798
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/28/2007
Last updated 08/22/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 2631
  • OH License # 30.022674
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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