| NPI | 1831455815 |
|---|---|
| Doing Business As | PREMIER ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | PAGE HUDSON President 805-485-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 36249) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 46858) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |