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Organization
VAN ZYL CENTER FOR ADVANCED DENTISTRY
Active
Organization
VAN ZYL CENTER FOR ADVANCED DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETTIENNE R. VAN ZYL D.D.S. (DENTIST/OWNER)
(901) 457-7753
Entity
Organization
Contact information
Practice address
1108 HALLE PARK CIR, COLLIERVILLE, TN 38017-7084
(901) 457-7753
(901) 457-7732
Mailing address
1108 HALLE PARK CIR, COLLIERVILLE, TN 38017-7084
(901) 457-7753
(901) 457-7732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.S.7305
TN
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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