| NPI | 1194175240 |
|---|---|
| Doing Business As | PREMIER DENTAL OF SUNBURY |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS HUDOBA Owner/Dentist 614-450-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.024450) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |