Organization
THE SMILE SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M HENRY DDS (DOCTOR)
(901) 755-0001
Entity
Organization
Contact information
Practice address
8110 CORDOVA RD, SUITE 125, CORDOVA, TN 38016-0520
(901) 755-0001
(901) 755-9679
Mailing address
8110 CORDOVA RD, SUITE 125, CORDOVA, TN 38016-0520
(901) 755-0001
(901) 755-9679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7481
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520260
—
TN
Enumeration date
07/06/2011
Last updated
07/06/2011
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