Provider Demographics
NPI:1942318761
Name:PRATTE, JOHN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:PRATTE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1346 FOOTHILL BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-2122
Mailing Address - Country:US
Mailing Address - Phone:818-952-6762
Mailing Address - Fax:818-952-4957
Practice Address - Street 1:1346 FOOTHILL BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-2122
Practice Address - Country:US
Practice Address - Phone:818-952-6762
Practice Address - Fax:818-952-4957
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA354481223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics