Organization
SIE INVESTMENT GROUP LLC
Active
Other names
Three Rivers Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN CONNOLLY D.D.S. (PRESIDENT)
(615) 907-3456
Entity
Organization
Contact information
Practice address
2395 NEW SALEM HWY, SUITE L, MURFREESBORO, TN 37128-5254
(615) 907-3456
(615) 907-3848
Mailing address
2395 NEW SALEM HWY, SUITE L, MURFREESBORO, TN 37128-5254
(615) 907-3456
(615) 907-3848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8779
TN
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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