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Organization
ELYSIA P. BELVA D.D.S., P.L.L.C.
Active
Organization
ELYSIA P. BELVA D.D.S., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELYSIA PARHAM BELVA D.D.S. (DENTIST/OWNER)
(423) 580-2407
Entity
Organization
Contact information
Practice address
1724 HAMILL RD, SUITE 114, HIXSON, TN 37343-5152
(423) 580-2407
Mailing address
1724 HAMILL RD, SUITE 114, HIXSON, TN 37343-5152
(423) 580-2407
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9069
TN
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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