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Organization
GRACE DENTAL CARE PC
Active
Organization
GRACE DENTAL CARE PC
Active
Other names
CORNERSTONE DENTAL CARE PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG JIN MOON D.M.D. (OWNER)
(615) 612-1740
Entity
Organization
Contact information
Practice address
500 LENTZ DR STE 60, MADISON, TN 37115-5135
(615) 612-1740
(615) 612-1751
Mailing address
500 LENTZ DR, SUITE 60, MADISON, TN 37115-5135
(615) 612-1740
(615) 612-1751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017107
—
TN
Enumeration date
04/23/2008
Last updated
10/23/2025
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