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 |