NPI 1114042330

Matthew Thomas Pruhs

Practitioner General Practice Dentistry Menomonee Falls, WI

Practice location

Address: W178n9201 Watertower Place Suite 100, Menomonee Falls, WI 53051
Phone: (262) 251-8704
Fax: (262) 251-8341

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 0155334 (WI)

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Registry record

NPI: 1114042330
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2007
Record last updated: 7 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.