EDP OF TENNESSEE PC

GERMANTOWN, TN
NPI1780143800
Entity TypeOrganization
Authorized ContactROSEANNE BRUNENKANT
Director Of Integrations
312-937-3619
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2019-03-18
Last Update Date2019-09-16
Business Address
EDP OF TENNESSEE PC
7938 WOLF RIVER BLVD
GERMANTOWN, TN 38138-1725
Phone number: 901-754-3117
Mailing Address
EDP OF TENNESSEE PC
141 W JACKSON BLVD STE 210
CHICAGO, IL 60604-3048
Phone number: 312-937-3619
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