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Organization

DESTINED DENTAL P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SABRINA MARIE PORCHER-FENNELL DDS (OWNER/DENTIST)
(615) 646-5151
Entity
Organization

Contact information

Practice address
917 HARPETH VALLEY PL, NASHVILLE, TN 37221-1141
(615) 646-5151
Mailing address
917 HARPETH VALLEY PL, NASHVILLE, TN 37221-1141
(615) 646-5151

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/28/2019
Last updated
08/26/2019
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