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R W PURYEAR, DMD, INC — OIG Excluded Provider (BONIFAY, FL, 1128b8)

R W PURYEAR, DMD, INC — OIG Excluded Provider (BONIFAY, FL, 1128b8) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: R W PURYEAR, DMD, INC; Type: Entity; Provider category: DENTAL PRACTICE.

NameR W PURYEAR, DMD, INC
TypeEntity
Provider categoryDENTAL PRACTICE
CityBONIFAY
StateFL
ZIP32425
Exclusion authority1128b8
Exclusion reasonEntities controlled by a sanctioned individual
Exclusion date2004-06-17
SourceHHS-OIG LEIE

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