Prestige Dental Specialists

NPI #1073990594 in Annandale, Virginia

Provider Information

NPI Number: 1073990594
Entity Type: Organization
Organization Name: Prestige Dental Specialists
Primary Specialty: Dentist
Enumeration Date: May 5, 2015
Last Updated: May 5, 2015

Practice Location

Address: 7630 LITTLE RIVER TPKE
Address 2: 115
City: Annandale
State: Virginia
ZIP Code: 22003-2610
Phone: (703) 256-2556

Authorized Official

Name: DR. NORACHAI PHISUTHIKUL, DDS
Title: OWNER
Phone: (703) 256-2556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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