Germantown Smile Design PC

NPI #1215108923 in Germantown, Tennessee

Provider Information

NPI Number: 1215108923
Entity Type: Organization
Organization Name: Germantown Smile Design PC
Primary Specialty: Dentist
Enumeration Date: Mar 20, 2008
Last Updated: Mar 4, 2011

Practice Location

Address: 7730 WOLF RIVER BLVD
Address 2: SUITE 104
City: Germantown
State: Tennessee
ZIP Code: 38138-1708
Phone: (601) 755-6440

Authorized Official

Name: DR. DONALD GAVIN WALLEY, D.D.S.
Title: PRESIDENT
Phone: (901) 755-6440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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