Grace Dental Care Pc

NPI 1013182849 - Dentist - 1223G0001X

NPI Details
NPI 1013182849
Enumeration Date 04/23/2008
Last Updated 11/29/2015
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name YOUNG JIN YOUNG
Position OWNER
Phone (615) 612-1740
Fax (615) 612-1751
Practice Location
500 LENTZ DR
SUITE 60
MADISON TN, 37115-5135, US
Phone (615) 612-1740
Fax (615) 612-1751
Business Location
500 LENTZ DR
SUITE 60
MADISON TN, 37115-5135, US
Phone (615) 612-1740
Fax (615) 612-1751
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number 8705
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According to our database, Grace Dental Care Pc NPI is 1013182849, taxonomy code is 1223G0001X and license number is 8705, license state is located at Tennessee. Grace Dental Care Pc physically located at 500 Lentz Dr, Madison TN, 37115-5135. NPI Number 1033115704 has the healthcare provider type.

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1013182849 NPI number is provided on an as is basis without warranty of any kind. 1013182849 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Dental Care Pc are for informational purposes only.