PREMIERE DENTAL SPA AT MADISON

MADISON, AL
NPI1659017838
Entity TypeOrganization
Authorized ContactTENESHIA EARLINE DANIELS
Owner
256-469-6428
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-05-10
Last Update Date2022-05-10
Business Address
PREMIERE DENTAL SPA AT MADISON
102 ST LOUIS ST STE D
MADISON, AL 35758-8028
Phone number: 256-469-6428
Mailing Address
PREMIERE DENTAL SPA AT MADISON
102 ST LOUIS ST STE D
MADISON, AL 35758-8028
Phone number: 256-469-6428
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