Provider First Line Business Practice Location Address:
UNIVERSITY OF TENNESSEE COLLEGE OF DENTISTRY
Provider Second Line Business Practice Location Address:
875 UNION AVE. ROOM C209
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38163-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-448-6221
Provider Business Practice Location Address Fax Number:
901-448-2671
Provider Enumeration Date:
10/27/2006