Individual
DAVID MARK PRATOR SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4501 E SNIDER DRIVE, WASILLA, AK 99654
(907) 376-8400
(907) 376-8402
Mailing address
P O B 876869, WASILLA, AK 99687
(907) 376-8400
(907) 376-8402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1118489
TX
122300000X
Dentist
Primary
464
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD4640
—
AK
Enumeration date
12/27/2007
Last updated
12/27/2007
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