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1083168538
ETHELYN JEAN PAK
SMYRNA, TN
NPI
1083168538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TN 10295)
Enumeration Date
2016-08-12
Last Update Date
2016-08-17
Business Address
-- ETHELYN JEAN PAK
440 SAM RIDLEY PKWY W
SMYRNA, TN 37167-2998
Phone number: 615-625-2955
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Mailing Address
-- ETHELYN JEAN PAK
1518 RED OAK DR.
BRENTWOOD, TN 37027
Phone number: 615-483-0728
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