SOH OF TENNESSEE PLLC

BRENTWOOD, TN
NPI1992280648
Entity TypeOrganization
Authorized ContactRAY WEBER
Regional Support Specialist
314-753-8154
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2018-09-28
Last Update Date2018-09-28
Business Address
SOH OF TENNESSEE PLLC
1600 WESTGATE CIR
BRENTWOOD, TN 37027-8059
Phone number: 615-481-4555
Mailing Address
SOH OF TENNESSEE PLLC
1422 ELBRIDGE PAYNE RD STE 240
CHESTERFIELD, MO 63017-8544
Phone number: 636-362-4986
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