NPI | 1104122241 |
---|---|
Doing Business As | PREMIER DENTAL |
Entity Type | Organization |
Authorized Contact | ASHRAF A HUSEIN Owner 901-507-1793 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2011-02-08 |
Last Update Date | 2011-11-02 |