Elite Dental Germantown Plc
NPI #1124552401 in Germantown, Tennessee
Provider Information
- NPI Number
- 1124552401
- Entity Type
- Organization
- Organization Name
- Elite Dental Germantown Plc
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 13, 2017
- Last Updated
- Apr 13, 2017
Practice Location
- Address
- 9064 CORPORATE GRADENS DRIVE
- City
- Germantown
- State
- Tennessee
- ZIP Code
- 38138
- Phone
- (731) 855-1053
Authorized Official
- Name
- DR. MICHAEL RYAN FARRAR, DDS
- Title
- OWNER/ DENTIST
- Phone
- (731) 855-1053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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