DOMINIQUE LATASHA TERRY

MEMPHIS, TN
NPI1376866988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: TN  DH05369)
Enumeration Date2010-03-10
Last Update Date2010-03-10
Business Address
Mrs. DOMINIQUE LATASHA TERRY RDH
2595 CENTRAL AVENUE CHRIST COMMUNITY HEALTH SERVICES INC
MEMPHIS, TN 38104
Phone number: 901-260-8551
Mailing Address
Mrs. DOMINIQUE LATASHA TERRY RDH
2877 POPLAR AVENUE CHRIST COMMUNITY HEALTH SERVICES INC
MEMPHIS, TN 38111
Phone number: 901-324-0093
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