Organization
HICKORY PLAZA DENTAL GROUP PC
Active
Other names
Hickory Plaza Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN LEE (DDS)
(615) 988-5309
Entity
Organization
Contact information
Practice address
5705 NOLENSVILLE PIKE STE A, NASHVILLE, TN 37211-6423
(615) 988-5309
(615) 393-6719
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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