| NPI | 1285703884 |
|---|---|
| Doing Business As | COLLIERVILLE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHARLES EDMUND YOUNG Owner 901-853-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000002304) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |