STATE OF TENNESSEE

JACKSON, TN
NPI1992010672
Doing Business AsWEST TENNESSEE REGIONAL OFFICE DENTAL CLINIC
Entity TypeOrganization
Authorized ContactMARILYN BARNES
Regional Director
731-421-6700
Organization Subpart ?No
Primary Taxonomy251K00000X Public Health or Welfare
Enumeration Date2010-08-18
Last Update Date2010-08-20
Business Address
STATE OF TENNESSEE
295 SUMMAR DR
JACKSON, TN 38301-3905
Phone number: 731-421-6700
Mailing Address
STATE OF TENNESSEE
295 SUMMAR DR
JACKSON, TN 38301-3905
Phone number: 731-421-6700