| NPI | 1083366785 |
|---|---|
| Doing Business As | PREMIER DENTAL GROUP, PC |
| Entity Type | Organization |
| Authorized Contact | CARRIE BESEN Operations Coordinator 207-204-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |