| NPI | 1851025118 |
|---|---|
| Doing Business As | PREMIER DENTAL CLUB |
| Entity Type | Organization |
| Authorized Contact | JAYA MANGAL Owner 848-218-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2025-08-28 |