Isaac Fordjour D.D.S.

NPI 1013905165 - Dentist - 1223S0112X

NPI Details
NPI 1013905165
Gender Male
Enumeration Date 10/12/2005
Last Updated 06/24/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
910 MADISON AVE
SUITE 710
MEMPHIS TN, 38103-3403, US
Phone (901) 526-3988
Fax (901) 526-9807
Business Location
910 MADISON AVE
SUITE 710
MEMPHIS TN, 38103-3403, US
Phone (901) 526-3988
Fax (901) 526-9807
Toxanomy
Taxonomy Code 1223S0112X
License State Tennessee
License Number DS2546
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According to our database, Dr. Isaac Fordjour D.D.S. NPI is 1013905165, taxonomy code is 1223S0112X and license number is DS2546, license state is located at Tennessee. Isaac Fordjour D.D.S. physically located at 910 Madison Ave, Memphis TN, 38103-3403. NPI Number Isaac Fordjour D.D.S. has the Individual type.

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1013905165 NPI number is provided on an as is basis without warranty of any kind. 1013905165 is maintained by the National Plan & Provider Enumeration System. The contents of Isaac Fordjour D.D.S. are for informational purposes only.