Organization
DENTAL IMPLANT AESTHETIC CENTER
Active
Other names
Oral and Facial Surgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN R WILLIAMS DDS (OWNER)
(901) 854-4422
Entity
Organization
Contact information
Practice address
1100 POPLAR VIEW LN N, COLLIERVILLE, TN 38017-9323
(901) 854-4422
Mailing address
1100 POPLAR VIEW LN N, COLLIERVILLE, TN 38017-9323
(901) 854-4422
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS5359
TN
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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