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Organization
PREMIER DENTAL IMPLANTS AND PROSTHODONTICS PLLC
Active
Organization
PREMIER DENTAL IMPLANTS AND PROSTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL J PERSENAIRE DMD (OWNER/DENTIST)
(916) 601-3355
Entity
Organization
Contact information
Practice address
3341 W FLETCHER AVE, TAMPA, FL 33618-2810
(813) 295-7656
(813) 219-8988
Mailing address
3341 W FLETCHER AVE, TAMPA, FL 33618-2810
(813) 295-7656
(813) 219-8988
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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