Organization
TENNESSEE DENTAL PROFESSIONALS PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS PC
Other names
Quail Hollow Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS PC
Authorized official
KIM WILSON (CRED SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
6425 N QUAIL HOLLOW RD STE 102, MEMPHIS, TN 38120-1438
(217) 540-5170
Mailing address
6425 N QUAIL HOLLOW RD STE 102, MEMPHIS, TN 38120-1438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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