| NPI | 1821553256 |
|---|---|
| Doing Business As | PREMIER WALK IN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SOWMYA KUMAR Pstd 321-446-3634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |