Search › Arizona › 1223G0001X
Mark Prusacki, DDS
NPI 1467667071 · on the registry since 2007
Practice
- Address
- 16415 S 46th Way
Phoenix, AZ 85048 - Phone
- (480) 567-4212
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona