Individual
DR. ROBERT ALAN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
605 W HIGHLAND AVE, NAMPA, ID 83686-4925
(208) 250-2105
(208) 250-2105
Mailing address
605 W HIGHLAND AVE, NAMPA, ID 83686-4925
(208) 442-3078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-3499
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806324400
—
ID
Enumeration date
08/30/2006
Last updated
01/15/2010
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