| NPI | 1528673902 |
|---|---|
| Doing Business As | PREMIER ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | THIAN SRISURAPOL Owner/Orthodontist 480-326-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2021-10-16 |