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5505 Edmondson Pike Suite #204 Nashville TN 37211-5872 | |
| (615) 834-1383 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5505 Edmondson Pike, Nashville, Tennessee |
| Authorized Official Name and Position | Mirna Armaleh Caldwell (CO-OWNER) |
| Authorized Official Contact | 6158341383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5505 Edmondson Pike Suite #204 Nashville TN 37211-5872 Ph: (615) 834-1383 | 5505 Edmondson Pike Suite #204 Nashville TN 37211-5872 Ph: (615) 834-1383 |
| NPI Number | 1902078926 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902078926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D8156 (Tennessee) | Primary |
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