Organization
PREMIERE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJEEV SHARMA B.D.S, M.D.S., M.S. (DENTIST)
(360) 882-9595
Entity
Organization
Contact information
Practice address
19221 SE 34TH ST, CAMAS, WA 98607-8831
(360) 688-2959
(360) 882-3322
Mailing address
19221 SE 34TH ST, CAMAS, WA 98607-8831
(360) 882-9595
(360) 882-3322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8301
WA
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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