Organization
PREMIER DENTURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALLEN MOORE DMD (CEO DENTAL OPERATIONS)
(419) 874-5324
Entity
Organization
Contact information
Practice address
184 E SOUTH BOUNDARY ST STE 7, PERRYSBURG, OH 43551-2527
(419) 874-5324
(419) 874-5324
Mailing address
184 E SOUTH BOUNDARY ST STE 7, PERRYSBURG, OH 43551-2527
(419) 874-5324
(419) 874-5324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30023358
OH
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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