Organization
SOH OF TENNESSEE PLLC
Active
Parent organization
SOH OF TENNESSEE PLLC
Other names
Holistic and Biological Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOH OF TENNESSEE PLLC
Authorized official
RAY WEBER (SUPPORT SPECIALIST)
(314) 753-8154
Entity
Organization
Contact information
Practice address
1600 WESTGATE CIR, BRENTWOOD, TN 37027-8059
(615) 481-4555
Mailing address
1422 ELBRIDGE PAYNE RD STE 240, CHESTERFIELD, MO 63017-8544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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