Individual
DR. AJAY KESHAVLAL DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3216 PARK AVE, MEMPHIS, TN 38111-3046
(901) 327-0003
(901) 327-1894
Mailing address
3216 PARK AVE, MEMPHIS, TN 38111-3046
(901) 327-0003
(901) 327-1894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3857
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3225043
—
TN
Enumeration date
12/22/2006
Last updated
07/30/2007
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