Organization
MONTEREY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH RANA D.D.S (OWNER)
(931) 839-8684
Entity
Organization
Contact information
Practice address
400 W CRAWFORD AVE, STE C, MONTEREY, TN 38574-1166
(931) 839-8684
(931) 839-3299
Mailing address
400 W CRAWFORD AVE STE C, MONTEREY, TN 38574-1166
(931) 839-3299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8741
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502689
—
TN
Enumeration date
03/08/2010
Last updated
03/08/2010
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