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Organization
GERMANTOWN DENTAL GROUP
Active
Organization
GERMANTOWN DENTAL GROUP
Active
Other names
Whittemore-Gruen, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETHANY OLIVER FOSTER (OFFICE MANAGER)
(901) 754-0540
Entity
Organization
Contact information
Practice address
2165 WEST ST, GERMANTOWN, TN 38138
(901) 754-0540
(901) 754-0621
Mailing address
2165 WEST ST, GERMANTOWN, TN 38138
(901) 754-0540
(901) 754-0621
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS2834
TN
261QD0000X
Dental Clinic/Center
DS3429
TN
261QD0000X
Dental Clinic/Center
DS7364
TN
261QD0000X
Dental Clinic/Center
DS7426
TN
Other
Enumeration date
08/31/2006
Last updated
10/24/2007
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