Organization
NORTH RIVER ENDODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER BRADLEY DAVIS D.D.S. (MEMBER)
(423) 876-0408
Entity
Organization
Contact information
Practice address
1017 EXECUTIVE DR, SUITE #102, HIXSON, TN 37343-7910
(423) 876-0408
(423) 876-0410
Mailing address
1017 EXECUTIVE DR, SUITE #102, HIXSON, TN 37343-7910
(423) 876-0408
(423) 876-0410
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7984
TN
Other
Enumeration date
09/29/2008
Last updated
03/03/2011
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