Organization
EAST MEMPHIS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE ASHLOCK DDS (DENTIST)
(901) 681-0408
Entity
Organization
Contact information
Practice address
5336 ESTATE OFFICE DR, SUITE 1, MEMPHIS, TN 38119-3623
(901) 681-0408
(901) 681-9753
Mailing address
5336 ESTATE OFFICE DR, SUITE 1, MEMPHIS, TN 38119-3623
(901) 681-0408
(901) 681-9753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS7027
TN
1223G0001X
General Practice Dentistry
Primary
DS7770
TN
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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