| Premier Dental Boerne | |
|
804 N Main St Boerne TX 78006-1626 | |
| (830) 249-8407 | |
| Not Available |
| Full Name | Premier Dental Boerne |
|---|---|
| Speciality | Dentist |
| Location | 804 N Main St, Boerne, Texas |
| Authorized Official Name and Position | Luigi Massa (OWNER) |
| Authorized Official Contact | 8306601669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Boerne 804 N Main St Boerne TX 78006-1626 Ph: (830) 249-8407 | Premier Dental Boerne 804 N Main St Boerne TX 78006-1626 Ph: (830) 249-8407 |
| NPI Number | 1699120808 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699120808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22462 (Texas) | Primary |
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