Organization
PRATER DENTAL CORPORATION
Active
Other names
Rancho Del Rey Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRZAD PRATER D.M.D. (PRESIDENT)
(619) 421-8742
Entity
Organization
Contact information
Practice address
1040 TIERRA DEL REY STE 203, CHULA VISTA, CA 91910-7865
(619) 421-8742
(619) 872-0717
Mailing address
1040 TIERRA DEL REY STE 203, CHULA VISTA, CA 91910-7865
(619) 421-8742
(619) 872-0717
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
061814
CA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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