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1205010246
DAVID MARK PRATOR
WASILLA, AK
NPI
1205010246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AK 464)
Additional Taxonomies
122300000X Dentist
(Licence: TX 1118489)
Enumeration Date
2007-12-27
Last Update Date
2007-12-27
Business Address
-- DAVID MARK PRATOR DDS
4501 E SNIDER DRIVE
WASILLA, AK 99654
Phone number: 907-376-8400
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Mailing Address
-- DAVID MARK PRATOR DDS
P O B 876869
WASILLA, AK 99687
Phone number: 907-376-8400
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