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Organization

RICHLAND CREEK DENTAL GROUP, PLLC

Active
Other names
Stonetrace Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA SANDOVAL (DIRECTOR OF OPERATIONS)
(505) 604-4986
Entity
Organization

Contact information

Practice address
2441 OLD FORT PKWY STE L, MURFREESBORO, TN 37128-4162
(615) 962-9357
Mailing address
2441 OLD FORT PKWY STE L, MURFREESBORO, TN 37128-4162
(615) 962-9357

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/25/2022
Last updated
10/25/2022
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