IRA LEE SIDWELL

BRENTWOOD, TN
NPI1114907201
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TN  DS3767)
Enumeration Date2006-01-17
Last Update Date2014-03-04
Business Address
Dr. IRA LEE SIDWELL DMD
1195 OLD HICKORY BLVD STE. 205
BRENTWOOD, TN 37027-4239
Phone number: 615-269-5223
Mailing Address
Dr. IRA LEE SIDWELL DMD
1195 OLD HICKORY BLVD STE. 205
BRENTWOOD, TN 37027-4239
Phone number: 615-269-5223
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