| NPI | 1699120808 |
|---|---|
| Doing Business As | PREMIER DENTAL BOERNE |
| Entity Type | Organization |
| Authorized Contact | LUIGI MASSA Owner 830-660-1669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22462) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |