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Individual

DR. PHILLIP EDWARD ISAACMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
315 S WALNUT BEND RD, #102, CORDOVA, TN 38018-7216
(901) 755-4006
(901) 309-0749
Mailing address
315 S WALNUT BEND RD, #102, CORDOVA, TN 38018-7216
(901) 755-4006
(901) 309-0749

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8570
TN

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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