Individual
DR. MISTI SPRING PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
79 W ALEXANDRINE ST, 3RD FLOOR, DETROIT, MI 48201-2015
(313) 833-2895
Mailing address
7206 FIELDS DR, INDIANAPOLIS, IN 46239-7756
(317) 698-3029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011063A
IN
1223P0221X
Pediatric Dentistry
2901020651
MI
Other
Enumeration date
09/11/2007
Last updated
09/26/2012
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