Premier Denture Center Llc | |
184 E South Boundary St Ste 7 Perrysburg OH 43551-2527 | |
(419) 874-5324 | |
(419) 874-5324 |
Full Name | Premier Denture Center Llc |
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Speciality | Dentist |
Location | 184 E South Boundary St Ste 7, Perrysburg, Ohio |
Authorized Official Name and Position | Michael Allen Moore (CEO DENTAL OPERATIONS) |
Authorized Official Contact | 4198745324 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Denture Center Llc 184 E South Boundary St Ste 7 Perrysburg OH 43551-2527 Ph: (419) 874-5324 | Premier Denture Center Llc 184 E South Boundary St Ste 7 Perrysburg OH 43551-2527 Ph: (419) 874-5324 |
NPI Number | 1699073924 |
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Provider Enumeration Date | 03/10/2011 |
Last Update Date | 03/10/2011 |
Identifier | Type | State | Issuer |
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1699073924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 30023358 (Ohio) | Primary |
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