Individual
MS. KERI PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.A.
Contact information
Practice address
100 PERRY STREET, LINDEN, TN 37096-0567
(931) 589-2515
(931) 589-3783
Mailing address
PO BOX 567, LINDEN, TN 37096-0567
(931) 589-2515
(931) 589-3783
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
10825
TN
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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