Individual
DR. ISAAC EDMUNDSON PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MSD
Contact information
Practice address
1712 S COUNTRY CLUB DR STE 104, MESA, AZ 85210-6046
(480) 376-0593
Mailing address
4304 E CAMPBELL AVE APT 2009, PHOENIX, AZ 85018-3774
(718) 844-8443
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D010237
AZ
Other
Enumeration date
02/29/2012
Last updated
02/27/2019
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