Organization
VAN ZYL CENTER FOR ADVANCED DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETTIENNE R. VAN ZYL D.D.S. (DENTIST/OWNER)
(901) 457-7753
Entity
Organization
Contact information
Practice address
1108 HALLE PARK CIR, COLLIERVILLE, TN 38017-7084
(901) 457-7753
(901) 457-7732
Mailing address
1108 HALLE PARK CIR, COLLIERVILLE, TN 38017-7084
(901) 457-7753
(901) 457-7732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.S.7305
TN
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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