Organization
PREMIER ORTHODONTIC AND PEDIATRIC DENTISTRY
Active
Parent organization
PREMIER GENERAL AND COSMETIC DENTISTRY
Other names
POP Wellington
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER GENERAL AND COSMETIC DENTISTRY
Authorized official
AMELIA K BURKE (ADMIN)
(561) 421-5667
Entity
Organization
Contact information
Practice address
1037 S STATE ROAD 7 STE 215, WELLINGTON, FL 33414-6140
(561) 421-5667
(561) 225-1136
Mailing address
1037 S STATE ROAD 7 STE 215, WELLINGTON, FL 33414-6140
(561) 333-4568
(561) 225-1136
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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