| 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 |