Individual
NICHOLAS PRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
104 ARDMORE RD, WEST HARTFORD, CT 06119-1204
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4934
ME
390200000X
Student in an Organized Health Care Education/Training Program
12883
CT
Other
Enumeration date
03/19/2020
Last updated
01/23/2023
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