Individual
MRS. TERESA LYNN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3185 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48629-8242
(989) 366-9621
(989) 366-8237
Mailing address
3185 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48629-8242
(989) 366-9621
(989) 366-8237
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902008875
MI
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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