Organization
MOS CORPORATION
Active
Other names
Union Avenue Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE D O'NEAL DDS (PRESIDENT)
(901) 276-7314
Entity
Organization
Contact information
Practice address
1331 UNION AVE STE 1225, MEMPHIS, TN 38104-7551
(901) 276-7314
(901) 276-6028
Mailing address
1331 UNION AVE STE 1225, MEMPHIS, TN 38104-7551
(901) 276-7314
(901) 276-6028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3438
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3225297
—
TN
Enumeration date
04/09/2013
Last updated
04/09/2013
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