Organization
SOUTH COLLEGE OF TN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE LYNN TERESE-KOCH DDS (CHAIR OF THE DEPT OF DENTAL EDUC)
(629) 802-3221
Entity
Organization
Contact information
Practice address
616 MARRIOTT DR, NASHVILLE, TN 37214-5048
(629) 802-3221
Mailing address
616 MARRIOTT DR, NASHVILLE, TN 37214-5048
(629) 802-3221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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