Individual
RONY JFOUF IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4730 LEBANON PIKE STE 101, HERMITAGE, TN 37076-1313
(615) 219-5722
Mailing address
413 ANNAPOLIS CIR, HERMITAGE, TN 37076-3678
(931) 591-8331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11963
TN
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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