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Organization

GENESIS DENTAL, PLLC

Active
Other names
Liberty Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAGI SARGIOUS DDS (DENTIST/OWNER)
(615) 481-7572
Entity
Organization

Contact information

Practice address
24 LIBERTY LN, MCMINNVILLE, TN 37110-3362
(931) 304-8447
Mailing address
6688 NOLENSVILLE RD STE 108-125, BRENTWOOD, TN 37027-8833
(931) 304-8447

Taxonomy

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

Other

Enumeration date
07/13/2022
Last updated
07/13/2022
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