Organization
PREMIER FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHIR KHALIL DDS (PRESIDENT)
(330) 334-7645
Entity
Organization
Contact information
Practice address
1392 HIGH ST #210, WADSWORTH, OH 44281
(330) 334-7645
(330) 335-2322
Mailing address
1392 HIGH ST #210, WADSWORTH, OH 44281
(330) 334-7645
(330) 335-2322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30 021326
OH
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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