David Mark Prator SR., DDS

NPI #1205010246 in Wasilla, Alaska

Provider Information

NPI Number: 1205010246
Entity Type: Individual
Name: David Mark Prator SR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 27, 2007
Last Updated: Dec 27, 2007

Practice Location

Address: 4501 E SNIDER DRIVE
City: Wasilla
State: Alaska
ZIP Code: 99654
Phone: (907) 376-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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