| Clarksville Modern Dentistry | |
|
1777 Madison Ste Suite 100 Clarksville TN 37043 | |
| (931) 202-9151 | |
| (931) 218-2724 |
| Full Name | Clarksville Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1777 Madison Ste Suite 100, Clarksville, Tennessee |
| Authorized Official Name and Position | Joan Thanh To (OWNER DENTIST) |
| Authorized Official Contact | 9312029151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Clarksville Modern Dentistry 1777 Madison Ste Suite 100 Clarksville TN 37043 Ph: (931) 202-9151 |
| NPI Number | 1104362946 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104362946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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