Individual
GARNET GARY JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1217 HIGHLAND HILLS DR, LA VERGNE, TN 37086-4112
(615) 793-5072
(615) 793-5072
Mailing address
1217 HIGHLAND HILLS DR, LA VERGNE, TN 37086-4112
(615) 793-5072
(615) 793-5072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9777
TN
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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