Organization · Type 2 NPI

Premiere Dentistry of Tahlequah

General Practice Dentistry · Tahlequah, OK

NPI number 1245299825 Active

About NPI 1245299825

Premiere Dentistry of Tahlequah's National Provider Identifier is 1245299825, issued on Mar 21, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tahlequah, OK. The record was last updated on Apr 6, 2010.