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Organization

SMYRNA FAMILY DENTISTRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAOLA RAMOS (CREDENTIALING COORDINATOR)
(972) 869-3789
Entity
Organization

Contact information

Practice address
1450 SAM DAVIS RD STE 120, SMYRNA, TN 37167-2754
(615) 459-6974
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS9797
TN

Other

Enumeration date
04/16/2018
Last updated
04/02/2024
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