Organization
OMS SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S DOCTORA D.D.S. M.D. (ORAL SURGEON)
(615) 220-5525
Entity
Organization
Contact information
Practice address
366 S LOWRY ST, SMYRNA, TN 37167-3415
(615) 220-5525
Mailing address
366 S LOWRY ST, SMYRNA, TN 37167-3415
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS7268
TN
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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