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Organization

PROMISE DENTAL

Active
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Organization

PROMISE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELLY DIANE BUSH (DOCTOR'S WIFE)
(615) 401-1103
Entity
Organization

Contact information

Practice address
2908 SIDCO DR, NASHVILLE, TN 37204-3759
(615) 401-1103
(615) 678-4381
Mailing address
2908 SIDCO DR, NASHVILLE, TN 37204-3759
(615) 401-1103
(615) 678-4381

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3134
TN

Other

Enumeration date
09/25/2013
Last updated
09/25/2013
About Stedi
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