Organization
PREMIUMSMILE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP ONYIRIMBA (AUTHORIZED OFFICIAL)
(469) 233-1987
Entity
Organization
Contact information
Practice address
6421 W 43RD ST, HOUSTON, TX 77092-4005
(832) 941-4010
Mailing address
6421 W 43RD ST, HOUSTON, TX 77092-4005
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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