Individual
DR. BOTROS GAMAL AIYAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
220 N WASHINGTON AVE, COOKEVILLE, TN 38501-2642
(615) 554-6019
Mailing address
901 CROWNHILL DR, NASHVILLE, TN 37217-1403
(615) 554-6019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11379
TN
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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