Organization
PREMIER ORAL SURGERY AND IMPLANTS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRESHA KAYE YORTON (OFFICE MANAGER)
(810) 445-9970
Entity
Organization
Contact information
Practice address
5090 E HILL RD, GRAND BLANC, MI 48439-7637
(810) 445-9970
(810) 445-9971
Mailing address
5090 E HILL RD, GRAND BLANC, MI 48439-7637
(810) 445-9970
(810) 445-9971
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901017170
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
MI
Other
Enumeration date
07/27/2015
Last updated
10/29/2020
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