Organization
PEDIATRIC DENTAL ASSOCIATES PLLC
Active
Other names
Pediatric Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ARTHUR ACOSTA DDS (OWNER/PROVIDER)
(901) 288-8885
Entity
Organization
Contact information
Practice address
6611 KIRBY CENTER CV, MEMPHIS, TN 38115-4313
(901) 486-8686
Mailing address
5286 COLE RD, MEMPHIS, TN 38120-2402
(901) 288-8885
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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