| NPI | 1265876528 |
|---|---|
| Doing Business As | PREMIER DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AMIRKEYVAN JALALI Dentist 704-906-8769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9299) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |