Organization
CROSSTOWN DENTAL GROUP LLC
Active
Other names
Crosstown Dental Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BIRD DDS (OWNER/DENTIST)
(901) 881-1234
Entity
Organization
Contact information
Practice address
1350 CONCOURSE AVE STE 446, MEMPHIS, TN 38104-2026
(901) 881-1234
(901) 339-5995
Mailing address
1350 CONCOURSE AVE STE 446, MEMPHIS, TN 38104-2026
(901) 881-1234
(901) 339-5995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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