| NPI | 1033732821 |
|---|---|
| Doing Business As | PREMIER DENTAL OF MOUNT VERNON |
| Entity Type | Organization |
| Authorized Contact | JULIE ALEXANDRUNAS Executive Officer 614-425-9059 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |