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1114917010
J RANDALL SMITH
TULLAHOMA, TN
NPI
1114917010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TN 179)
Enumeration Date
2005-10-24
Last Update Date
2007-07-08
Business Address
Dr. J RANDALL SMITH D.D.S.,M.S.
205 S JACKSON ST
TULLAHOMA, TN 37388-4426
Phone number: 931-455-0146
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Mailing Address
Dr. J RANDALL SMITH D.D.S.,M.S.
205 S JACKSON ST
TULLAHOMA, TN 37388-4426
Phone number: 931-455-0146
Copy
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