Organization
MADISON FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAN KSHATRI D.D.S. (OWNER)
(901) 581-2233
Entity
Organization
Contact information
Practice address
231 W OLD HICKORY BLVD, SUITE A, MADISON, TN 37115-3664
(615) 865-5750
(615) 868-8638
Mailing address
231 W OLD HICKORY BLVD, SUITE A, MADISON, TN 37115-3664
(615) 865-5750
(615) 868-8638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8971
TN
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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