Prestige Dental LLC

NPI #1023412095 in Colorado Springs, Colorado

Provider Information

NPI Number: 1023412095
Entity Type: Organization
Organization Name: Prestige Dental LLC
Primary Specialty: Dentist
Enumeration Date: Oct 20, 2014
Last Updated: Oct 20, 2014

Practice Location

Address: 3208 N ACADEMY BLVD STE 110
City: Colorado Springs
State: Colorado
ZIP Code: 80917-5171
Phone: (719) 597-3700

Authorized Official

Name: MRS. DIANA D SHAY
Title: OFFICE MANAGER
Phone: (719) 597-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dental Hygienist	124Q00000X

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