Organization
MH DMD OF TENNESSEE, PLLC
Active
Other names
Smile Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN BREMER (REGISTERED AGENT)
(650) 649-9497
Entity
Organization
Contact information
Practice address
2126 ABBOTT MARTIN RD STE 168, NASHVILLE, TN 37215-2619
(800) 674-9732
Mailing address
2126 ABBOTT MARTIN RD STE 168, NASHVILLE, TN 37215-2619
(650) 649-9497
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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