Individual
DR. TERRY RAY PRACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17900 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708
(614) 554-4446
Mailing address
80900 WEISKOPP, LA QUINTA, CA 92253
(614) 554-4446
(760) 777-8026
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30014030
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS58749
CA
Other
Enumeration date
06/01/2005
Last updated
12/28/2021
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