Organization
CHRYSALIS ORAL HEALTH CARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIMANSHU PATEL DMD (DENTAL DIRECTOR)
(615) 714-6182
Entity
Organization
Contact information
Practice address
326 21ST AVE N, NASHVILLE, TN 37203-1846
(615) 714-6182
Mailing address
900 BELDEN WAY, NASHVILLE, TN 37221-4433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10097
TN
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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