Individual
TERESA O'DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
875 UNION AVE RM C522, MEMPHIS, TN 38103-3513
(901) 448-3425
Mailing address
5945 STEEPLECHASE DR, BARTLETT, TN 38134-5518
(901) 634-7300
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH0000003656
TN
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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