Organization
COVINGTON PIKE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO C HEROS DDS (OWNER)
(901) 377-6800
Entity
Organization
Contact information
Practice address
3594 COVINGTON PIKE, MEMPHIS, TN 38128-3926
(901) 377-6800
Mailing address
3594 COVINGTON PIKE, MEMPHIS, TN 38128-3926
(901) 377-6800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2952
TN
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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