Provider First Line Business Practice Location Address:
1005 DR. D.B. TODD,JR. BLVD
Provider Second Line Business Practice Location Address:
MEHARRY MEDICAL COLLEGE SOD DEPT OF PERIODONTICS
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37208-3501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-327-6300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/11/2006