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Organization
PREMIER BOERNE DENTAL, PLLC
Active
Organization
PREMIER BOERNE DENTAL, PLLC
Active
Other names
Premier Dental Boerne
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIGI MASSA D.D.S. (OWNER)
(830) 660-1669
Entity
Organization
Contact information
Practice address
804 N MAIN ST, BOERNE, TX 78006-1626
(830) 249-8407
Mailing address
804 N MAIN ST, BOERNE, TX 78006-1626
(830) 249-8407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22462
TX
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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