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Organization
LOOK NASH DENTAL
Active
Organization
LOOK NASH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOK VILLANUEVA (DIRECTOR OF OPERATIONS)
(251) 301-9690
Entity
Organization
Contact information
Practice address
1800 GALLERIA BLVD, FRANKLIN, TN 37067-1605
(251) 753-0197
Mailing address
1651 SCHILLINGER RD N, SEMMES, AL 36575-7409
(251) 301-9690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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