| NPI | 1215080734 |
|---|---|
| Doing Business As | PREMIER DENTURES & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | JOHN LARD President 918-331-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 5431) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 5779) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2012-06-26 |