| NPI | 1902967524 |
|---|---|
| Doing Business As | PREMIER DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHAD L MORRIS Owner 435-586-6526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 02800149922) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |