Organization
WHITEHAVEN DENTAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGONVA SHANTE WALLS DDS (DENTIST)
(901) 398-6435
Entity
Organization
Contact information
Practice address
1273 E RAINES RD, MEMPHIS, TN 38116-5816
(901) 398-6435
(901) 398-1987
Mailing address
1273 E RAINES ROAD, MEMPHIS, TN 38116
(901) 398-6435
(901) 398-1987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
TN
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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