# MIKE PULIDO DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386162782
- **Authorized official:** MIGUEL PULIDO DDS (DENTIST/OWNER)
- **Authorized official phone:** (901) 756-0688

## Contact information

- **Practice address:** 8590 FARMINGTON BLVD STE 5, GERMANTOWN, TN 38139-3344
- **Practice address phone:** (901) 756-0688
- **Practice address fax:** (901) 756-0838
- **Mailing address:** 8590 FARMINGTON BLVD STE 5, GERMANTOWN, TN 38139-3344
- **Mailing address phone:** (901) 756-0688
- **Mailing address fax:** (901) 756-0838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2017
- **Last updated:** 07/21/2022