TN SOUTHERN DENTAL PPO

MURFREESBORO, TN
NPI1245044346
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2025-02-07
Last Update Date2025-02-07
Business Address
TN SOUTHERN DENTAL PPO
4183 FRANKLIN RD STE B5
MURFREESBORO, TN 37128-3112
Phone number: 615-907-4746
Mailing Address
TN SOUTHERN DENTAL PPO
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number:
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