Organization
BRIAN C. PRATT, DDS, PA
Active
Other names
Dental and Orthodontic Center of Lake Conroe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHRISTOPHER PRATT D.D.S. (DENTIST)
(832) 381-6724
Entity
Organization
Contact information
Practice address
15260 HIGHWAY 105 W, STE 222, MONTGOMERY, TX 77356-5259
(832) 381-6724
Mailing address
15260 HIGHWAY 105 W, STE 222, MONTGOMERY, TX 77356-5259
(832) 381-6724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21738
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
21777
TX
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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