Organization
PEDIATRIC DENTAL CARE OF MEMPHIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A ACOSTA DDS (OWNER)
(901) 288-8885
Entity
Organization
Contact information
Practice address
717 S WHITE STATION RD STE 7, MEMPHIS, TN 38117-4538
(901) 363-8192
(901) 375-9310
Mailing address
5286 COLE RD, MEMPHIS, TN 38120-2402
(901) 288-8885
(901) 375-9310
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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