Organization
FARRAGUT DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAIRAV VYAS DDS (OWNER)
(865) 288-0416
Entity
Organization
Contact information
Practice address
11201 W POINT DR STE 101, FARRAGUT, TN 37934-2834
(865) 288-0416
(865) 288-7177
Mailing address
11201 W POINT DR STE 101, FARRAGUT, TN 37934-2834
(865) 288-0416
(865) 288-7177
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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