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Organization

MEMPHIS ENDODONTICS, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY KEVIN WELLS DMD (OWNER/CLINICIAN)
(901) 737-1927
Entity
Organization

Contact information

Practice address
1755 KIRBY PKWY STE 103, MEMPHIS, TN 38120-4333
(901) 737-1927
(901) 761-1656
Mailing address
1755 KIRBY PKWY STE 103, MEMPHIS, TN 38120-4333
(901) 737-1927
(901) 761-1656

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
07/03/2019
Last updated
07/03/2019
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