| NPI | 1154523603 |
|---|---|
| Doing Business As | PREMIER DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CAMTAM TONG NGUYEN Owner 408-972-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 47648) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |