# PRESTIGE DENTAL SPECIALISTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Dentofacial Aesthetics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902346687
- **Authorized official:** MRS. LORRIE LYNCH (DENTAL OFFICE MANAGER)
- **Authorized official phone:** (703) 256-2556

## Contact information

- **Practice address:** 7630 LITTLE RIVER TPKE, SUE 115, ANNANDALE, VA 22003-2610
- **Practice address phone:** (703) 256-2556
- **Practice address fax:** (703) 256-7722
- **Mailing address:** 7630 LITTLE RIVER TPKE, SUE 115, ANNANDALE, VA 22003-2610
- **Mailing address phone:** (703) 256-2556
- **Mailing address fax:** (703) 256-7722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401413960 | VA | Yes |

## Other

- **Enumeration date:** 03/01/2017
- **Last updated:** 03/01/2017