Individual
DR. BARRY A VESCOVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3705 MALCO WAY, SUITE103, MEMPHIS, TN 38125-2019
(901) 751-4420
(901) 751-4421
Mailing address
3705 MALCO WAY, SUITE103, MEMPHIS, TN 38125-2019
(901) 751-4420
(901) 751-4421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4353
TN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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