Organization
365 DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAIRAV KAMLESH VYAS DDS (PRESIDENT)
(865) 336-6868
Entity
Organization
Contact information
Practice address
5303 JACKSBORO PIKE, KNOXVILLE, TN 37918-3328
(865) 336-6868
Mailing address
5303 JACKSBORO PIKE, KNOXVILLE, TN 37918-3328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9865
TN
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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