| NPI | 1598003865 |
|---|---|
| Doing Business As | PREMIERE DENTAL SPA |
| Doing Business As | PREMIERE DENTAL |
| Entity Type | Organization |
| Authorized Contact | TENESHIA E DANIELS Dentist 256-469-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL AL5820) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2021-01-25 |