Organization
IMPERIAL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPARKLE EULLS (OFFICE MANAGER)
(901) 818-1990
Entity
Organization
Contact information
Practice address
5126 SUMMER AVE, 101, MEMPHIS, TN 38122-4400
(901) 818-1990
(901) 818-1991
Mailing address
5126 SUMMER AVE, 101, MEMPHIS, TN 38122-4400
(901) 818-1990
(901) 818-1991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8099
TN
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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