| NPI | 1073105623 |
|---|---|
| Doing Business As | PREMIER DENTAL OF GROVE CITY |
| Entity Type | Organization |
| Authorized Contact | MARK R. ALEXANDRUNAS Owner 740-587-4891 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |