Organization
PREMIER DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SOBOL DDS (OWNER)
(410) 374-4882
Entity
Organization
Contact information
Practice address
2730 HANOVER PIKE, MANCHESTER, MD 21102-1914
(410) 374-4882
(410) 374-0702
Mailing address
2730 HANOVER PIKE, MANCHESTER, MD 21102-1914
(410) 374-4882
(410) 374-0702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13189
MD
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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