| NPI | 1942867650 |
|---|---|
| Doing Business As | PREMIER DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JACOB WARNER Credentialing Manager 801-691-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |