# PREMIER DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609573005
- **Legal business name:** COS LLC
- **Authorized official:** DR. MESTIRE SOLOMON DMD (MANAGER)
- **Authorized official phone:** (703) 740-0060

## Contact information

- **Practice address:** 611 S CARLIN SPRINGS RD STE 408, ARLINGTON, VA 22204-1087
- **Practice address phone:** (703) 740-0060
- **Practice address fax:** (703) 740-0059
- **Mailing address:** 611 S CARLIN SPRINGS RD STE 408, ARLINGTON, VA 22204-1087
- **Mailing address phone:** (703) 740-0060
- **Mailing address fax:** (703) 740-0059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2023
- **Last updated:** 02/15/2023