Organization
HTUT DENTAL CORP
Active
Other names
Prestige Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MYAT HTUT (CEO)
(626) 466-5492
Entity
Organization
Contact information
Practice address
1413 FOOTHILL BLVD STE B, LA VERNE, CA 91750-3418
(909) 596-1831
Mailing address
1413 FOOTHILL BLVD STE B, LA VERNE, CA 91750-3418
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
05/10/2020
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