Organization
SANJEEV SHARMA P.S. DBA PREMIER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJEEV K SHARMA BDS,MDS,MS (PRESIDENT)
(360) 882-9595
Entity
Organization
Contact information
Practice address
19221 SE 34TH ST STE 106, CAMAS, WA 98607-8832
(360) 882-9595
(360) 882-3322
Mailing address
19221 SE 34TH ST STE 106, CAMAS, WA 98607-8832
(360) 882-9595
(360) 882-3322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 8301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5043377
—
WA
Enumeration date
07/12/2008
Last updated
07/12/2008
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