State of Tennessee

NPI #1962709832 in Arlington, Tennessee

Provider Information

NPI Number
1962709832
Entity Type
Organization
Organization Name
State of Tennessee
Primary Specialty
Dentist
Enumeration Date
Feb 11, 2011
Last Updated
Feb 11, 2011

Practice Location

Address
11437 MILTON WILSON RD
ZIP Code
38002
Phone
(901) 745-7352

Authorized Official

Name
SARAH EDWARDS
Title
DEPUTY DIRECTOR
Phone
(901) 745-7352

Specialties & Taxonomy Codes

Specialty
Behavior Analyst
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment
Dentist

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