Individual
DR. ROLANDO ANDRE PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2401 WOOTEN BLVD SW STE F, WILSON, NC 27893-4464
(252) 291-4300
(252) 291-2337
Mailing address
2401 WOOTEN BLVD SW STE F, WILSON, NC 27893-4464
(252) 291-4300
(252) 291-2337
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4245
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997060
—
NC
01
—
97060
BCBS NCHC DENTAL SERVICE
NC
Enumeration date
12/15/2006
Last updated
07/09/2007
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