Organization
ASSOCIATES DENTAL GROUP P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA HAMMOND (DENTAL ADMINISTRATION)
(901) 357-5224
Entity
Organization
Contact information
Practice address
2154 FRAYSER BLVD, MEMPHIS, TN 38127-5755
(901) 357-5224
(901) 357-5257
Mailing address
2154 FRAYSER BLVD, MEMPHIS, TN 38127-5755
(901) 357-5224
(901) 357-5257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS00005071
TN
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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