| NPI | 1578832754 |
|---|---|
| Doing Business As | PRESTIGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BELLA MAKAGON President 425-516-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE 60058471) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |