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Individual

DR. PHILLIP DOUGLAS PRATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
229 S 4TH ST, COSHOCTON, OH 43812-2020
(740) 622-5695
(740) 622-0231
Mailing address
229 S 4TH ST, COSHOCTON, OH 43812-2020
(740) 622-5695
(740) 622-0231

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.022797
OH

Other

Enumeration date
09/16/2009
Last updated
09/16/2009
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