NPI | 1407423312 |
---|---|
Doing Business As | PREMIER DENTAL CENTER NEW BRAUNFELS |
Entity Type | Organization |
Authorized Contact | MICHELLE JOHNSON Credentialing Specialist 509-315-8338 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-06-09 |
Last Update Date | 2021-06-09 |