Individual
DR. DAVID MICHAEL PENCARINHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6425 STAGE RD STE 1, BARTLETT, TN 38134-3731
(901) 754-8002
Mailing address
715 OAKLAWN, MARION, AR 72364-9026
(423) 276-7459
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0000012159
TN
Other
Enumeration date
04/29/2020
Last updated
07/30/2024
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