| NPI | 1063953875 |
|---|---|
| Doing Business As | PRESTIGE PERIODONTAL AND IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | PAWEL D FOTEK Owner 561-693-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: FL DN18002) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |