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1013288257
BACK TO BASICS DENTAL CENTER, LLC
CLARKSVILLE, TN
NPI
1013288257
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Entity Type
Organization
Authorized Contact
JENNIFER CORNELL
Owner
931-645-8000
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN 8416)
Enumeration Date
2012-01-19
Last Update Date
2015-09-16
Business Address
BACK TO BASICS DENTAL CENTER, LLC
1762 HIGHWAY 48 STE A
CLARKSVILLE, TN 37040-7284
Phone number: 931-645-8000
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Mailing Address
BACK TO BASICS DENTAL CENTER, LLC
1762 HIGHWAY 48 STE A
CLARKSVILLE, TN 37040-7284
Phone number:
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