| NPI | 1760995963 |
|---|---|
| Doing Business As | PREMIER DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAUREN S DAIGNEAULT Admin Director 256-783-9468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2023-07-07 |