Individual
GORDON PRATT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2011 E VILLA MARIA RD, BRYAN, TX 77802-2541
(979) 776-8689
Mailing address
2011 E VILLA MARIA RD, BRYAN, TX 77802-2541
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10443
TX
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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