Organization
PREMIERE DENTAL LLC
Active
Other names
Premiere Dental, Premiere Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TENESHIA E DANIELS DDS (DENTIST)
(256) 469-6428
Entity
Organization
Contact information
Practice address
5045 MEMORIAL PKWY NW, HUNTSVILLE, AL 35810-1077
(601) 880-6424
Mailing address
5045 MEMORIAL PKWY NW, HUNTSVILLE, AL 35810-1077
(601) 880-6424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AL5820
AL
Other
Enumeration date
01/22/2013
Last updated
01/25/2021
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