Nada Ballout Kordab D.D.S.

NPI 1053322438 - Dentist - 122300000X

NPI Details
NPI 1053322438
Gender Female
Enumeration Date 08/10/2006
Last Updated 06/04/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
10825 OLD HIGHWAY 64
BOLIVAR TN, 38008-3599, US
Phone (731) 658-5291
Fax (731) 658-6536
Business Location
JACKSON TN, 38301-3905, US
Phone (901) 246-7560
Taxonomy Code 122300000X
License State Tennessee
License Number 8545
Remove 1053322438 NPI Number

According to our database, Dr. Nada Ballout Kordab D.D.S. NPI is 1053322438, taxonomy code is 122300000X and license number is 8545, license state is located at Tennessee. Nada Ballout Kordab D.D.S. physically located at 10825 Old Highway 64, Bolivar TN, 38008-3599. NPI Number Nada Ballout Kordab D.D.S. has the Individual type.

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1053322438 NPI number is provided on an as is basis without warranty of any kind. 1053322438 is maintained by the National Plan & Provider Enumeration System. The contents of Nada Ballout Kordab D.D.S. are for informational purposes only.