Individual
CONSTANCE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38163-6210
(901) 448-6476
Mailing address
875 UNION AVE, MEMPHIS, TN 38163-6210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14754
MD
122300000X
Dentist
Primary
9403
TN
Other
Enumeration date
01/28/2011
Last updated
11/10/2012
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