HERMITAGE PEDIATRIC DENTISTRY

HERMITAGE, TN
NPI1174852958
Entity TypeOrganization
Authorized ContactKIRKLAND E LARSON
Dentist
615-889-1654
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: TN  8202)
Enumeration Date2009-12-08
Last Update Date2009-12-08
Business Address
HERMITAGE PEDIATRIC DENTISTRY
107 BONNABROOK DR
HERMITAGE, TN 37076-1910
Phone number: 615-889-1654
Mailing Address
HERMITAGE PEDIATRIC DENTISTRY
107 BONNABROOK DR
HERMITAGE, TN 37076-1910
Phone number: 615-889-1654
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