Premiere Dental Spa at Madison

NPI #1659017838 in Madison, Alabama

Provider Information

NPI Number
1659017838
Entity Type
Organization
Organization Name
Premiere Dental Spa at Madison
Subpart
Yes (part of a larger organization)
Parent Organization
PREMIERE DENTAL
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 10, 2022
Last Updated
May 10, 2022

Practice Location

Address
102 ST LOUIS ST STE D
State
Alabama
ZIP Code
35758-8028
Phone
(256) 469-6428

Authorized Official

Name
DR. TENESHIA EARLINE DANIELS, DDS
Title
OWNER
Phone
(256) 469-6428

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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