Organization
ELITE ENDODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DYRIW DDS, MS (OWNER/ENDODONTIST)
(317) 964-1273
Entity
Organization
Contact information
Practice address
7518 HIGHWAY 70 S STE B, NASHVILLE, TN 37221-1847
(615) 669-2780
Mailing address
605 CALVERTON LN, BRENTWOOD, TN 37027-8979
(317) 964-1273
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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