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Organization

PERIODONTAL ASSOCIATES OF MEMPHIS

Active
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Organization

PERIODONTAL ASSOCIATES OF MEMPHIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA F PATTON (OFFICE MANAGER)
(901) 761-3770
Entity
Organization

Contact information

Practice address
6268 POPLAR AVE, MEMPHIS, TN 38119-4713
(901) 761-3770
(901) 761-3775
Mailing address
6268 POPLAR AVE, MEMPHIS, TN 38119-4713
(901) 761-3770
(901) 761-3775

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS7731
TN

Other

Enumeration date
02/07/2007
Last updated
08/22/2020
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