Individual
THOMAS LELAND PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1941 W BOULEVARD, KOKOMO, IN 46902-6027
(765) 453-6200
Mailing address
1941 W BOULEVARD, KOKOMO, IN 46902-6027
(765) 453-6200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008023
IN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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