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1093769168
DONALD SHANE WITHEROW
MOUNT JULIET, TN
NPI
1093769168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TN 7540)
Enumeration Date
2006-05-21
Last Update Date
2007-07-08
Business Address
Dr. DONALD SHANE WITHEROW DDS, MS
1323 CLEARVIEW DR
MOUNT JULIET, TN 37122-3424
Phone number: 615-754-2027
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Mailing Address
Dr. DONALD SHANE WITHEROW DDS, MS
2059 LOMBARDY AVE
NASHVILLE, TN 37215-1362
Phone number: 615-347-4849
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