Provider First Line Business Practice Location Address:
DEPT OF VETERAN AFFAIRS, DENTAL SERVICE 160
Provider Second Line Business Practice Location Address:
1310 24TH AVE. SO.
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-327-5321
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2006