Organization
FORREST PRATT DMD PLLC
Active
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
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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