# SANJEEV SHARMA P.S. DBA PREMIER DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760646368
- **Authorized official:** DR. SANJEEV K SHARMA BDS,MDS,MS (PRESIDENT)
- **Authorized official phone:** (360) 882-9595

## Contact information

- **Practice address:** 19221 SE 34TH ST STE 106, CAMAS, WA 98607-8832
- **Practice address phone:** (360) 882-9595
- **Practice address fax:** (360) 882-3322
- **Mailing address:** 19221 SE 34TH ST STE 106, CAMAS, WA 98607-8832
- **Mailing address phone:** (360) 882-9595
- **Mailing address fax:** (360) 882-3322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE 8301 | WA | Yes |

## Other

- **Enumeration date:** 07/12/2008
- **Last updated:** 07/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5043377 | — | WA |