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Organization

CLARKSVILLE MODERN DENTISTRY,PC

Active
Other names
Clarksville Modern Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOAN THANH TO DDS (OWNER DENTIST)
(931) 202-9151
Entity
Organization

Contact information

Practice address
1777 MADISON STE SUITE 100, CLARKSVILLE, TN 37043
(931) 202-9151
(931) 218-2724
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
01/18/2017
Last updated
01/18/2017
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