Southridge Dental
NPI #1891954343 in Nampa, Idaho
Provider Information
- NPI Number
- 1891954343
- Entity Type
- Organization
- Organization Name
- Southridge Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 9, 2008
- Last Updated
- Jun 18, 2008
Practice Location
Authorized Official
- Name
- DR. ROBERT ALAN PRATT, DMD
- Title
- DENTIST
- Phone
- (208) 466-2458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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