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Organization

FORREST PRATT DMD PLLC

Active
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Organization

FORREST PRATT DMD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FORREST PRATT DMD (SURGEON AND OWNER)
(480) 766-9829
Entity
Organization

Contact information

Practice address
20539 E CARRIAGE WAY, QUEEN CREEK, AZ 85142-3680
(480) 766-9829
Mailing address
20539 E CARRIAGE WAY, QUEEN CREEK, AZ 85142-3680

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—

Other

Enumeration date
08/01/2023
Last updated
08/01/2023
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