| NPI | 1538937867 |
|---|---|
| Doing Business As | PREMIER SOUTH DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SHRADDHA KEWALRAMANI Managing Partner 857-222-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |