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Organization
CROSSTOWN DENTAL GROUP HIGHLAND ROW LLC
Active
Organization
CROSSTOWN DENTAL GROUP HIGHLAND ROW LLC
Active
Other names
Crosstown Dental Group Highland Row LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L BIRD DDS (OWNER/DENTIST)
(901) 881-1234
Entity
Organization
Contact information
Practice address
431 S HIGHLAND ST STE 115, MEMPHIS, TN 38111-1633
(901) 513-5321
(901) 339-5995
Mailing address
431 S HIGHLAND ST STE 115, MEMPHIS, TN 38111-1633
(901) 512-5321
(901) 339-5995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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