| Premier Dental Associates | |
|
1528 Land O Lakes Blvd Suite 101 Lutz FL 33549-2903 | |
| (813) 948-0404 | |
| (813) 948-4484 |
| Full Name | Premier Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 1528 Land O Lakes Blvd, Lutz, Florida |
| Authorized Official Name and Position | Paresh Jayant Parikshak (OWNER/PRESIDENT) |
| Authorized Official Contact | 7278445520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Associates 1528 Land O Lakes Blvd Suite 101 Lutz FL 33549-2903 Ph: (813) 948-0404 | Premier Dental Associates 1528 Land O Lakes Blvd Suite 101 Lutz FL 33549-2903 Ph: (813) 948-0404 |
| NPI Number | 1477702140 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477702140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN13340 (Florida) | Primary |
| 122300000X | Dentist | DN14074 (Florida) | Secondary |
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