# PREMIERE DENTAL

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

## Provider details

- **NPI number:** 1902021777
- **Authorized official:** DR. SANJEEV SHARMA B.D.S, M.D.S., M.S. (DENTIST)
- **Authorized official phone:** (360) 882-9595

## Contact information

- **Practice address:** 19221 SE 34TH ST, CAMAS, WA 98607-8831
- **Practice address phone:** (360) 688-2959
- **Practice address fax:** (360) 882-3322
- **Mailing address:** 19221 SE 34TH ST, CAMAS, WA 98607-8831
- **Mailing address phone:** (360) 882-9595
- **Mailing address fax:** (360) 882-3322

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020