Organization
FESMIRE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAINOA LOUISE WATERHOUSE (OFFICE MANAGER)
(615) 865-1733
Entity
Organization
Contact information
Practice address
106 CUDE LN, MADISON, TN 37115-2202
(615) 598-8660
(615) 860-7585
Mailing address
106 CUDE LN, MADISON, TN 37115-2202
(615) 598-8660
(615) 860-7585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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