DR. Blake Thomas Prather, DDS

NPI #1356636799 in Kokomo, Indiana

Provider Information

NPI Number
1356636799
Entity Type
Individual
Name
DR. Blake Thomas Prather, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 14, 2011
Last Updated
Jun 26, 2014

Practice Location

Address
112 E ALTO RD
City
Kokomo
State
Indiana
ZIP Code
46902-3601
Phone
(765) 455-2505

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