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355 Hancock St Gallatin TN 37066-3690 | |
| (615) 452-2868 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 355 Hancock St, Gallatin, Tennessee |
| Authorized Official Name and Position | Katherine A Hart Westphal (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 6154522868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
355 Hancock St Gallatin TN 37066-3690 Ph: (615) 452-2868 | 355 Hancock St Gallatin TN 37066-3690 Ph: (615) 452-2868 |
| NPI Number | 1790237477 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790237477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9017 (Tennessee) | Primary |
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