| NPI | 1578216743 |
|---|---|
| Doing Business As | PRESTIGE PERIODONTICS SILVER SPRING |
| Entity Type | Organization |
| Authorized Contact | DUANE BENNETT Member 301-681-4812 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |