Individual
DR. JYOTHI KOTIAN VASANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1261 BRIDGETON PARK DR, BRENTWOOD, TN 37027-2942
(615) 486-9157
Mailing address
1261 BRIDGETON PARK DR, BRENTWOOD, TN 37027-8341
(615) 468-9157
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0000009360
TN
Other
Enumeration date
10/08/2011
Last updated
03/26/2013
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