| NPI | 1174118723 |
|---|---|
| Doing Business As | PRESTIGE DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | NORACHAI PHISUTHIKUL Owner 703-462-9092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| 1223E0200X Dentist, Endodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |