DR. Prasong Iamsurey, D.D.S.
NPI #1619910767 in Kelseyville, California
Provider Information
- NPI Number
- 1619910767
- Entity Type
- Individual
- Name
- DR. Prasong Iamsurey, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4150 MAIN ST
- City
- Kelseyville
- State
- California
- ZIP Code
- 95451-9402
- Phone
- (707) 279-4251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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