| NPI | 1700279437 |
|---|---|
| Doing Business As | PAYSON PREMIER DENTAL |
| Entity Type | Organization |
| Authorized Contact | KRISTIN MELISSA WADE Member 928-472-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D7822) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |