Organization
FACIAL DENTAL CENTER, P.C.
Active
Other names
Just4teens
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY V. NUNEZ DDS (PRESIDENT/DENTIST)
(423) 827-2770
Entity
Organization
Contact information
Practice address
1720 GUNBARREL RD STE 310, CHATTANOOGA, TN 37421-3192
(423) 602-8642
Mailing address
1720 GUNBARREL RD STE 310, CHATTANOOGA, TN 37421-3192
(423) 602-8642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS9121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017535
—
TN
Enumeration date
02/11/2016
Last updated
02/11/2016
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