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Organization
PREMIERE MAXILLOFACIAL SURGEONS, INC.
Active
Organization
PREMIERE MAXILLOFACIAL SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM H TETTEH-MARTEY DMD (PRESIDENT)
(626) 665-9279
Entity
Organization
Contact information
Practice address
3132 HARRISON AVE, EUREKA, CA 95503-5638
(707) 442-1775
(707) 444-2821
Mailing address
3132 HARRISON AVE, EUREKA, CA 95503-5638
(707) 442-1775
(707) 444-2821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52119
CA
Other
Enumeration date
03/29/2007
Last updated
11/17/2015
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