BRENT WILLS CHURCH

MEMPHIS, TN
NPI1669729588
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: TN  11892)
Additional Taxonomies122300000X Dentist
(Licence: MS  3659-12)
122300000X Dentist
(Licence: KS  61218)
1223P0221X Dentist, Pediatric Dentistry
(Licence: KS  61218)
Enumeration Date2012-08-09
Last Update Date2023-09-28
Business Address
Dr. BRENT WILLS CHURCH DDS
1684 POPLAR AVE
MEMPHIS, TN 38104-2583
Phone number: 901-254-1990
Mailing Address
Dr. BRENT WILLS CHURCH DDS
4270 CHICKASAW RD
MEMPHIS, TN 38117-1615
Phone number: 901-652-0411