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Individual

DR. JONATHON SCOTT EGBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7535 POPLAR AVE, GERMANTOWN, TN 38138-3812
(901) 386-2328
(402) 382-1538
Mailing address
7535 POPLAR AVE, GERMANTOWN, TN 38138-3812
(901) 386-2328
(402) 382-1538

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9276
TN

Other

Enumeration date
06/07/2011
Last updated
06/07/2011
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