Organization
PREMIER DENTAL TEAM, PLLC
Active
Other names
Premier Dental Team
Organization subpart
No
Provider details
NPI number
Authorized official
ADA YOJANA PARRA DDS, MS (MANAGER)
(352) 372-3600
Entity
Organization
Contact information
Practice address
3720 NW 43RD ST, SUITE 102, GAINESVILLE, FL 32606-6190
(352) 372-3600
Mailing address
3720 NW 43RD ST, SUITE 102, GAINESVILLE, FL 32606-6190
(352) 372-3600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19866
FL
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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