Organization
TW NEW DENTISTRY, PLLC
Active
Parent organization
TW NEW DENTISTRY, PLLC
Other names
Stones River Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TW NEW DENTISTRY, PLLC
Authorized official
WILL PACK (CONTROLLER)
(931) 247-8102
Entity
Organization
Contact information
Practice address
1630 NW BROAD ST STE 101, MURFREESBORO, TN 37129-4435
(615) 896-0608
Mailing address
1630 NW BROAD ST STE 101, MURFREESBORO, TN 37129-4435
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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