Premier Dental | |
390 Vineyard Way Suite 505 West Grove PA 19390-8835 | |
(610) 869-0655 | |
(610) 869-6099 |
Full Name | Premier Dental |
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Speciality | Dentist - General Practice |
Location | 390 Vineyard Way, West Grove, Pennsylvania |
Authorized Official Name and Position | Diane C Hernandez (OWNER) |
Authorized Official Contact | 6108696055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Dental 390 Vineyard Way Suite 505 West Grove PA 19390-8835 Ph: (610) 869-0655 | Premier Dental 390 Vineyard Way Suite 505 West Grove PA 19390-8835 Ph: (610) 869-0655 |
NPI Number | 1821280272 |
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Provider Enumeration Date | 08/09/2007 |
Last Update Date | 08/09/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821280272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS036040 (Pennsylvania) | Primary |
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