| NPI | 1891041463 |
|---|---|
| Doing Business As | PREMIER DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ABY A JACOB President 972-939-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 20704) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 20704) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |