| NPI | 1073551693 |
|---|---|
| Professional Name | JAY PRESTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 5002022) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA DDS104787) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-01-13 |