Organization
PARADISE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAYAN FERDOWSI DDS (OWNER/DENTIST)
(615) 758-2085
Entity
Organization
Contact information
Practice address
66 E HILL DR, MOUNT JULIET, TN 37122-8031
(615) 758-2085
(615) 758-2874
Mailing address
66 EAST HILL STREET, MOUNT JULIET, TN 37122
(615) 758-2085
(615) 758-2874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9932
TN
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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