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Organization
MEMPHIS DENTURES AND IMPLANTS PLLC
Active
Organization
MEMPHIS DENTURES AND IMPLANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN JORDAN DAVIS DMD (SOLE MEMBER)
(901) 308-5952
Entity
Organization
Contact information
Practice address
8950 US-64, SUITE 108, LAKELAND, TN 38002-4566
(901) 308-5952
Mailing address
8950 US-64, SUITE 108, LAKELAND, TN 38002-4566
(901) 308-5952
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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