Premier Boerne Dental, Pllc

NPI #1699120808 in Boerne, Texas

Provider Information

NPI Number: 1699120808
Entity Type: Organization
Organization Name: Premier Boerne Dental, Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 26, 2016
Last Updated: Apr 26, 2016

Practice Location

Address: 804 N MAIN ST
City: Boerne
State: Texas
ZIP Code: 78006-1626
Phone: (830) 249-8407

Authorized Official

Name: DR. LUIGI MASSA, D.D.S.
Title: OWNER
Phone: (830) 660-1669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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