Organization
MEMPHIS DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANEEN MATALGAH (PRESIDENT)
(662) 304-7605
Entity
Organization
Contact information
Practice address
9755 US HIGHWAY 64 STE 104, ARLINGTON, TN 38002-8395
(901) 902-5335
Mailing address
1520 FAIRFIELD DR, LEBANON, MO 65536-4320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
12/03/2025
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