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Organization

VILLAGE DENTAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN RAE FOSTER (PRACTICE ADMINISTRATOR)
(615) 498-4323
Entity
Organization

Contact information

Practice address
112 SAUNDERSVILLE RD, SUITE B226, HENDERSONVILLE, TN 37075-8913
(615) 822-2626
(615) 822-3626
Mailing address
112 SAUNDERSVILLE RD, SUITE B226, HENDERSONVILLE, TN 37075-8913
(615) 822-2626
(615) 822-3626

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5040
TN

Other

Enumeration date
11/06/2009
Last updated
11/06/2009
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