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1013484062
SOH OF TENNESSEE PLLC
BRENTWOOD, TN
NPI
1013484062
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Entity Type
Organization
Authorized Contact
RAY WEBER
Support Specialist
314-753-8154
Organization Subpart ?
Yes
Primary Taxonomy
122300000X Dentist
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
SOH OF TENNESSEE PLLC
1600 WESTGATE CIR
BRENTWOOD, TN 37027-8059
Phone number: 615-481-4555
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Mailing Address
SOH OF TENNESSEE PLLC
1422 ELBRIDGE PAYNE RD STE 240
CHESTERFIELD, MO 63017-8544
Phone number:
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