Search › New York › 1223P0221X
Bonita Pruitt, DDS
NPI 1770562415 · on the registry since 2006
Practice
- Address
- Us Army Dental Activity Attn Credentials Coordinator
10205 North Riva Ridge Loop
Fort Drum, NY 13603 - Phone
- (315) 772-4342
- Fax
- (315) 772-9692
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 New York