Organization
ELITE DENTAL GERMANTOWN PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RYAN FARRAR DDS (OWNER/ DENTIST)
(731) 855-1053
Entity
Organization
Contact information
Practice address
9064 CORPORATE GRADENS DRIVE, GERMANTOWN, TN 38138
(731) 855-1053
(731) 855-8064
Mailing address
9064 CORPORATE GRADENS DRIVE, GERMANTOWN, TN 38138
(731) 855-1053
(731) 855-8064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS009456
TN
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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