Organization
NASHVILLE DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENZIE GAINES DAVIDOVICH DMD (DENTIST/OWNER)
(615) 398-4343
Entity
Organization
Contact information
Practice address
5505 EDMONDSON PIKE STE 201, NASHVILLE, TN 37211-5869
(615) 398-4343
Mailing address
5505 EDMONDSON PIKE STE 201, NASHVILLE, TN 37211-5869
(615) 398-4343
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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