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Individual

DR. JULIE ANN PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
69 ALLEN ST STE 10, RUTLAND, VT 05701-4564
(802) 774-5050
(802) 774-5042
Mailing address
69 ALLEN ST STE 10, RUTLAND, VT 05701-4564
(802) 774-5050
(802) 774-5042

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160094415
VT
1223G0001X
General Practice Dentistry
DN1855789
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021959
VT
Enumeration date
08/24/2011
Last updated
08/05/2015
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