Organization
PRESTIGE SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRT FORAKIS (OWNER)
(801) 610-7283
Entity
Organization
Contact information
Practice address
218 E 800 S, OREM, UT 84058-5008
(801) 610-7283
(801) 225-2537
Mailing address
218 E 800 S, OREM, UT 84058-5008
(801) 610-7283
(801) 225-2537
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/26/2023
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