Gordon Pratt Jr DDS Ms PA

NPI #1003983453 in Bryan, Texas

Provider Information

NPI Number: 1003983453
Entity Type: Organization
Organization Name: Gordon Pratt Jr DDS Ms PA
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Nov 29, 2006
Last Updated: Jan 25, 2012

Practice Location

Address: 2011C E VILLA MARIA
City: Bryan
State: Texas
ZIP Code: 77802
Phone: (979) 776-8689

Authorized Official

Name: DR. GORDON ALFRED PRATT JR., DDS
Title: OWNER PRESIDENT
Phone: (979) 776-8689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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