| Brentwood Dental Excellence, Pc | |
|
6 Cadillac Dr 130 Brentwood TN 37027-5080 | |
| (615) 373-5914 | |
| Not Available |
| Full Name | Brentwood Dental Excellence, Pc |
|---|---|
| Speciality | Dentist |
| Location | 6 Cadillac Dr, Brentwood, Tennessee |
| Authorized Official Name and Position | Asma Furrukh Malik (SOLE MEMBER) |
| Authorized Official Contact | 6153735914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Dental Excellence, Pc 6 Cadillac Dr 130 Brentwood TN 37027-5080 Ph: (615) 373-5914 | Brentwood Dental Excellence, Pc 6 Cadillac Dr 130 Brentwood TN 37027-5080 Ph: (615) 373-5914 |
| NPI Number | 1215272521 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215272521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS8169 (Tennessee) | Primary |
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