Facial Dental Center, P.C.
Dentist in Chattanooga, TN. Organization (NPI-2).
NPI number1376902809
StatusActive
Last updated in NPPESFeb 11, 2016
Details
- NPI
- 1376902809
- Entity type
- Organization (NPI-2)
- Legal business name
- Facial Dental Center, P.C.
- Organization subpart
- No
- Enumeration date
- Feb 11, 2016
- Last updated
- Feb 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS9121 | TN | Yes |
Other names
- Just4teens (Former Legal Business Name)
Practice location
1720 Gunbarrel Rd Ste 310Chattanooga, TN 37421-3192
Phone 423-602-8642
Mailing address
1720 Gunbarrel Rd Ste 310Chattanooga, TN 37421-3192
Phone 423-602-8642
Authorized official
Jenny V. Nunez
President/Dentist
4238272770
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