Prestige Dental Specialists Pllc

NPI #1902346687 in Annandale, Virginia

Provider Information

NPI Number: 1902346687
Entity Type: Organization
Organization Name: Prestige Dental Specialists Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 1, 2017
Last Updated: Mar 1, 2017

Practice Location

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

Authorized Official

Name: MRS. LORRIE LYNCH
Title: DENTAL OFFICE MANAGER
Phone: (703) 256-2556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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