Evolve Dental Medspa

NPI #1164261822 in Smyrna, Tennessee

Provider Information

NPI Number: 1164261822
Entity Type: Organization
Organization Name: Evolve Dental Medspa
Subpart: Yes (part of a larger organization)
Parent Organization: CRYSTAL CLEAR FAMILY DENTISTRY
Primary Specialty: Dentist
Enumeration Date: May 22, 2024
Last Updated: May 22, 2024

Practice Location

Address: 1210 HAZELWOOD DR STE B
City: Smyrna
State: Tennessee
ZIP Code: 37167-3964
Phone: (615) 930-2050

Authorized Official

Name: MISS ALEXA LANVIN
Title: OFFICE MANAGER
Phone: (615) 930-2050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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