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Organization

MOUNT JULIET FAMILY DENTISTRY

Active
Other names
Paradise Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BAYAN FERDOWSI DDS (OWNER)
(615) 758-2085
Entity
Organization

Contact information

Practice address
66 E HILL DR, MOUNT JULIET, TN 37122-8031
(615) 758-2085
Mailing address
66 E HILL DR, MOUNT JULIET, TN 37122-8031

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9932
TN
1223G0001X
General Practice Dentistry
124Q00000X
Dental Hygienist

Other

Enumeration date
03/30/2017
Last updated
03/30/2017
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