| NPI | 1821640822 |
|---|---|
| Doing Business As | PRESTIGE ORAL AND FACIAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | GERARDO J GUILLEN RIVERA President / Owner 915-283-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |