Individual
DR. ILSE LONGERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
7518 HWY 70 S STE B, NASHVILLE, TN 37221-1848
(615) 669-2780
Mailing address
615 OLD HICKORY BLVD UNIT 154, NASHVILLE, TN 37209-5396
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12256
TN
Other
Enumeration date
08/31/2016
Last updated
07/12/2023
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