| Sanjeev Sharma P.s. Dba Premier Dental | |
|
19221 Se 34th St Ste 106 Camas WA 98607-8832 | |
| (360) 882-9595 | |
| (360) 882-3322 |
| Full Name | Sanjeev Sharma P.s. Dba Premier Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19221 Se 34th St Ste 106, Camas, Washington |
| Authorized Official Name and Position | Sanjeev K Sharma (PRESIDENT) |
| Authorized Official Contact | 3608829595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjeev Sharma P.s. Dba Premier Dental 19221 Se 34th St Ste 106 Camas WA 98607-8832 Ph: (360) 882-9595 | Sanjeev Sharma P.s. Dba Premier Dental 19221 Se 34th St Ste 106 Camas WA 98607-8832 Ph: (360) 882-9595 |
| NPI Number | 1760646368 |
|---|---|
| Provider Enumeration Date | 07/12/2008 |
| Last Update Date | 07/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760646368 | NPI | - | NPPES |
| 5043377 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE 8301 (Washington) | Primary |
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