Organization
IMAGE ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T PHILIPOSE D.M.D (DR)
(615) 867-6960
Entity
Organization
Contact information
Practice address
522B BRANDIES CIR, MURFREESBORO, TN 37128-4872
(615) 867-6960
Mailing address
522B BRANDIES CIR, SUITE 2, MURFREESBORO, TN 37128-4872
(615) 867-6960
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8823
TX
Other
Enumeration date
09/08/2008
Last updated
10/22/2008
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