Organization
PREMIER CARE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIRO SORIANO (CIO)
(631) 414-7927
Entity
Organization
Contact information
Practice address
700 E PALISADE AVE, ENGLEWOOD CLIFFS, NJ 07632-3058
(201) 568-0606
(631) 396-0452
Mailing address
135 PINELAWN RD STE 150S, MELVILLE, NY 11747-3187
(631) 414-7927
(631) 396-0452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/11/2022
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