| Dr Prasong Iamsurey, DDS | |
|
4150 Main St, Kelseyville, CA 95451-9402 | |
| (707) 279-4251 | |
| (707) 279-8335 |
| Full Name | Dr Prasong Iamsurey |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 4150 Main St, Kelseyville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619910767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34119 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prasong Iamsurey, DDS 4150 Main Street, Po Box 514, Kelseyville, CA 95451-0514 Ph: (707) 279-4251 | Dr Prasong Iamsurey, DDS 4150 Main St, Kelseyville, CA 95451-9402 Ph: (707) 279-4251 |
Dr. Ruby C Carlson Larson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9750 State Hwy 281, Ste J, Kelseyville, CA 95451 Phone: 707-277-9100 | |
Dr. Levi Samuel Palmer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7275 Adobe Creek Dr, Kelseyville, CA 95451 Phone: 707-263-0629 Fax: 707-263-0629 | |
Dr. James Prasert Iamsurey, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4150 Main St, Kelseyville, CA 95451 Phone: 707-279-4251 |