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Individual

DR. MAREN L PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
10049 MANCHESTER RD, SAINT LOUIS, MO 63122-1825
(314) 671-4019
Mailing address
10049 MANCHESTER RD, SAINT LOUIS, MO 63122-1825
(314) 671-4019
(314) 671-4018

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2016016883
MO
1223P0221X
Pediatric Dentistry
Primary
2016016883
MO

Other

Enumeration date
06/17/2016
Last updated
02/21/2021
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