Individual
DR. SHAHRZAD PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1040 TIERRA DEL REY, SUITE 203, CHULA VISTA, CA 91910-7865
(619) 421-8742
(619) 421-8800
Mailing address
1040 TIERRA DEL REY, SUITE 203, CHULA VISTA, CA 91910-7865
(619) 421-8742
(619) 421-8800
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
57070
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
LL-0108-06
NV
Other
Enumeration date
05/21/2008
Last updated
09/24/2008
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