| Premier Dental Seguin | |
|
104 W Cedar St Seguin TX 78155-3748 | |
| (830) 379-9310 | |
| (830) 401-0230 |
| Full Name | Premier Dental Seguin |
|---|---|
| Speciality | Dentist |
| Location | 104 W Cedar St, Seguin, Texas |
| Authorized Official Name and Position | Luigi O Massa (OWNER) |
| Authorized Official Contact | 8306252111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Seguin 104 W Cedar St Seguin TX 78155-3748 Ph: (830) 379-9310 | Premier Dental Seguin 104 W Cedar St Seguin TX 78155-3748 Ph: (830) 379-9310 |
| NPI Number | 1881920163 |
|---|---|
| Provider Enumeration Date | 10/21/2009 |
| Last Update Date | 10/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881920163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22462 (Texas) | Primary |
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