Organization
PREMIERE DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUGIE ASEMOTA DDS (PRESIDENT)
(770) 623-8700
Entity
Organization
Contact information
Practice address
2925 PREMIERE PKWY STE 130, DULUTH, GA 30097-5248
(770) 623-8700
Mailing address
2925 PREMIERE PKWY STE 130, DULUTH, GA 30097-5248
(770) 623-8700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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