| Van Zyl Center For Advanced Dentistry | |
|
1108 Halle Park Cir Collierville TN 38017-7084 | |
| (901) 457-7753 | |
| (901) 457-7732 |
| Full Name | Van Zyl Center For Advanced Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1108 Halle Park Cir, Collierville, Tennessee |
| Authorized Official Name and Position | Ettienne R. Van Zyl (DENTIST/OWNER) |
| Authorized Official Contact | 9014577753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Zyl Center For Advanced Dentistry 1108 Halle Park Cir Collierville TN 38017-7084 Ph: (901) 457-7753 | Van Zyl Center For Advanced Dentistry 1108 Halle Park Cir Collierville TN 38017-7084 Ph: (901) 457-7753 |
| NPI Number | 1659793495 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 01/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659793495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D.S.7305 (Tennessee) | Primary |
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