Individual
MRS. DOMINIQUE LATASHA TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2595 CENTRAL AVENUE, CHRIST COMMUNITY HEALTH SERVICES INC, MEMPHIS, TN 38104
(901) 260-8551
(901) 260-8590
Mailing address
2877 POPLAR AVENUE, CHRIST COMMUNITY HEALTH SERVICES INC, MEMPHIS, TN 38111
(901) 324-0093
(901) 324-4029
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH05369
TN
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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