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Organization

DENTAL SPECIALTY GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TANIA NKUNGULA-HOWLETT DDS (OWNER/DENTIST)
(615) 832-6460
Entity
Organization

Contact information

Practice address
390 HARDING PL, SUITE 101, NASHVILLE, TN 37211-3998
(615) 832-6460
(615) 832-6461
Mailing address
390 HARDING PL, SUITE 101, NASHVILLE, TN 37211-3998
(615) 832-6460
(615) 832-6461

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DS7570
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3209516
TN
05
3226456
TN
Enumeration date
03/25/2008
Last updated
03/25/2008
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