| NPI | 1952676264 |
|---|---|
| Former Legal Business Name | PREMIER DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MONAF ALYASSI Dentist 508-318-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: MA DN20634) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |