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Organization
STATE OF TENNESSEE
Active
Organization
STATE OF TENNESSEE
Active
Other names
MCRO Mobile Dental Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE HALEY (REGIONAL DIRECTOR)
(615) 650-7000
Entity
Organization
Contact information
Practice address
710 HART LN, NASHVILLE, TN 37216-2627
(615) 650-7000
(615) 262-6139
Mailing address
710 HART LN, NASHVILLE, TN 37216-2627
(615) 650-7000
(615) 262-6139
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/28/2012
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