DAVID MARK PRATOR

WASILLA, AK
NPI1205010246
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AK  464)
Additional Taxonomies122300000X Dentist
(Licence: TX  1118489)
Enumeration Date2007-12-27
Last Update Date2007-12-27
Business Address
-- DAVID MARK PRATOR DDS
4501 E SNIDER DRIVE
WASILLA, AK 99654
Phone number: 907-376-8400
Mailing Address
-- DAVID MARK PRATOR DDS
P O B 876869
WASILLA, AK 99687
Phone number: 907-376-8400