Organization
GORDON PRATT JR DDS MS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON ALFRED PRATT JR. DDS (OWNER PRESIDENT)
(979) 776-8689
Entity
Organization
Contact information
Practice address
2011C E VILLA MARIA, BRYAN, TX 77802
(979) 776-8689
(979) 776-1335
Mailing address
2011C E VILLA MARIA, BRYAN, TX 77802
(979) 776-8689
(979) 776-1335
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10443
TX
Other
Enumeration date
11/29/2006
Last updated
01/25/2012
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