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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