| Premier Dental Suite | |
|
4635 E Avenue S # C102 Palmdale CA 93552-4483 | |
| (661) 349-8280 | |
| Not Available |
| Full Name | Premier Dental Suite |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4635 E Avenue S # C102, Palmdale, California |
| Authorized Official Name and Position | Song K Kim (PRESIDENT) |
| Authorized Official Contact | 6613498280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Suite 4635 E Avenue S # C102 Palmdale CA 93552-4483 Ph: (661) 349-8280 | Premier Dental Suite 4635 E Avenue S # C102 Palmdale CA 93552-4483 Ph: (661) 349-8280 |
| NPI Number | 1003320565 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003320565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 58863 (California) | Primary |
Newport Dental - Palmdale (ortho) Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 39345 10th St W Ste B, Palmdale, CA 93551 Phone: 661-274-8065 | |
Premier Dental Suite Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4635 E Avenue S, Palmdale, CA 93552 Phone: 661-349-8280 | |
Hi-desert Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 E Palmdale Blvd, Palmdale, CA 93550 Phone: 661-273-1333 Fax: 661-273-1687 | |
Prestige Dental Care Dental Clinic Medicare: Medicare Enrolled Practice Location: 38750 Trade Center Dr Ste J, Palmdale, CA 93551 Phone: 661-267-6400 | |
Smile Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2508 E Palmdale Blvd, Palmdale, CA 93550 Phone: 661-947-9990 Fax: 661-947-2452 | |
Absolute Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 W Palmdale Blvd Ste D, Palmdale, CA 93551 Phone: 661-265-7397 |