Individual
MRS. INEZ DAVIS WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
DEPT OF VETERAN AFFAIRS, DENTAL SERVICE 160, 1310 24TH AVE. SO., NASHVILLE, TN 37212
(615) 327-5321
Mailing address
3112 WINDSOR GREEN DR, ANTIOCH, TN 37013-1042
(615) 399-5240
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4410
TN
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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