| Premier Dentistry, Llc | |
|
348 N Pearl St Brockton MA 02301-1197 | |
| (508) 584-6070 | |
| Not Available |
| Full Name | Premier Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 348 N Pearl St, Brockton, Massachusetts |
| Authorized Official Name and Position | Daniel Dongkyu Lee (MANAGER) |
| Authorized Official Contact | 6175193557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dentistry, Llc 3920 Mystic Valley Pkwy Apt 704 Medford MA 02155-6908 Ph: (617) 519-3557 | Premier Dentistry, Llc 348 N Pearl St Brockton MA 02301-1197 Ph: (508) 584-6070 |
| NPI Number | 1073200820 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073200820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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