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1043730997
TREMAYNE L RICHARD
ANTIOCH, TN
NPI
1043730997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401415683)
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
TREMAYNE L RICHARD DDS
712 SAXONY LAKE DR
ANTIOCH, TN 37013-6701
Phone number: 434-480-6526
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Mailing Address
TREMAYNE L RICHARD DDS
712 SAXONY LAKE DR
ANTIOCH, TN 37013-6701
Phone number:
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