| Prestige Dental, Inc. | |
|
312 West Bass Street Kissimmee FL 34741 | |
| (407) 935-0027 | |
| (407) 935-9322 |
| Full Name | Prestige Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 312 West Bass Street, Kissimmee, Florida |
| Authorized Official Name and Position | Ardin B Manalo (GENERAL DENTIST) |
| Authorized Official Contact | 4079350027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Dental, Inc. 312 West Bass Street Kissimmee FL 34741 Ph: (407) 935-0027 | Prestige Dental, Inc. 312 West Bass Street Kissimmee FL 34741 Ph: (407) 935-0027 |
| NPI Number | 1205910023 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 09/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205910023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN12921 (Florida) | Primary |
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