Prusky, Sean David

Prusky, Sean David is an individual health care provider with primary practice located at 500 S Sepulveda Blvd Ste 301 , Manhattan Beach CA 90266-6976. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Prusky, Sean David can be contacted via phone (310) 754-5460.

Contact Information

Primary practice address
500 S Sepulveda Blvd Ste 301 Manhattan Beach CA 90266-6976
Phone: (310) 754-5460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 60671 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 60671 California

Profile Details

NPI number 1477833119
LBN Legal business name Prusky, Sean David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Jun 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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