| Cordova Family Dental, Pllc | |
|
1680 Bonnie Ln Cordova TN 38016-1529 | |
| (901) 286-3405 | |
| (901) 286-5955 |
| Full Name | Cordova Family Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1680 Bonnie Ln, Cordova, Tennessee |
| Authorized Official Name and Position | Brett Hildenbrand (CEO) |
| Authorized Official Contact | 6623215883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordova Family Dental, Pllc Po Box 416 Saltillo MS 38866-0416 Ph: (901) 286-3405 | Cordova Family Dental, Pllc 1680 Bonnie Ln Cordova TN 38016-1529 Ph: (901) 286-3405 |
| NPI Number | 1578296745 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578296745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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