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Organization
FOCUS DENTAL SPECIALISTS
Active
Organization
FOCUS DENTAL SPECIALISTS
Active
Other names
Prestige Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORACHAI PHISUTHIKUL DDS (OWNER)
(703) 462-9092
Entity
Organization
Contact information
Practice address
7617 LITTLE RIVER TPKE STE 910, ANNANDALE, VA 22003-2618
(703) 462-9092
Mailing address
7617 LITTLE RIVER TPKE STE 910, ANNANDALE, VA 22003-2618
(703) 462-9092
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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