ETHELYN JEAN PAK

SMYRNA, TN
NPI1083168538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TN  10295)
Enumeration Date2016-08-12
Last Update Date2016-08-17
Business Address
-- ETHELYN JEAN PAK
440 SAM RIDLEY PKWY W
SMYRNA, TN 37167-2998
Phone number: 615-625-2955
Mailing Address
-- ETHELYN JEAN PAK
1518 RED OAK DR.
BRENTWOOD, TN 37027
Phone number: 615-483-0728