Southridge Dental
NPI #1003010877 in Nampa, Idaho
Provider Information
- NPI Number
- 1003010877
- Entity Type
- Organization
- Organization Name
- Southridge Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 13, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. ROBERT ALAN PRATT, D.M.D.
- Title
- DENTIST
- Phone
- (208) 466-2458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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