Individual
MRS. REBEKAH ANNE KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
102 22ND ST, OLD HICKORY, TN 37138-2502
(615) 847-3088
(615) 847-8479
Mailing address
PO BOX 511, OLD HICKORY, TN 37138-0511
(615) 847-3088
(615) 847-8479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9886
TN
Other
Enumeration date
07/15/2014
Last updated
10/29/2014
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