| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4883 Main St., Spring Hill, Tennessee |
| Authorized Official Name and Position | Joan T To (OWNER) |
| Authorized Official Contact | 6155177858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8280 | 4883 Main St. Spring Hill TN 37174 Ph: (615) 517-7858 |
| NPI Number | 1902385792 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902385792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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