Prestige Dental Care, LLC
NPI #1174618045 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1174618045
- Entity Type
- Organization
- Organization Name
- Prestige Dental Care, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Oct 11, 2011
Practice Location
- Address
- 2915 S BRENTWOOD BLVD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63144-2713
- Phone
- (314) 962-6622
Authorized Official
- Name
- DR. SRDJAN ILIC-SILJAK, DMD
- Title
- DENTIST
- Phone
- (314) 962-6622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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