NPI | 1205910023 |
---|---|
Doing Business As | PRESTIGE DENTAL, INC. |
Entity Type | Organization |
Authorized Contact | ARDIN B MANALO General Dentist 407-935-0027 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12921) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2013-09-18 |