| Soh Of Tenneessee Specialty Llc | |
|
330 Mayfield Dr Ste A15 Franklin TN 37067-7210 | |
| (636) 362-4986 | |
| Not Available |
| Full Name | Soh Of Tenneessee Specialty Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 330 Mayfield Dr Ste A15, Franklin, Tennessee |
| Authorized Official Name and Position | Ashly Sunshine (CREDENTIALING) |
| Authorized Official Contact | 6363624986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soh Of Tenneessee Specialty Llc 1422 Elbridge Payne Rd Ste 240 Chesterfield MO 63017-8544 Ph: (636) 362-4986 | Soh Of Tenneessee Specialty Llc 330 Mayfield Dr Ste A15 Franklin TN 37067-7210 Ph: (636) 362-4986 |
| NPI Number | 1477253268 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477253268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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