| NPI | 1821124876 |
|---|---|
| Former Legal Business Name | PREMIER DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH EDWARDS Dentist/Owner 225-766-8107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 4900) |
| 122300000X Dentist | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-03-03 |