| NPI | 1023412095 |
|---|---|
| Doing Business As | PRESTIGE DENTAL CENTERS |
| Entity Type | Organization |
| Authorized Contact | DIANA D SHAY Office Manager 719-597-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 7989) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 201875) |
| 124Q00000X Dental Hygienist (Licence: CO DH000905418) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |