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1124552401
ELITE DENTAL GERMANTOWN PLC
GERMANTOWN, TN
NPI
1124552401
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Entity Type
Organization
Authorized Contact
MICHAEL RYAN FARRAR
Owner/ Dentist
731-855-1053
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN DS009456)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
ELITE DENTAL GERMANTOWN PLC
9064 CORPORATE GRADENS DRIVE
GERMANTOWN, TN 38138
Phone number: 731-855-1053
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Mailing Address
ELITE DENTAL GERMANTOWN PLC
9064 CORPORATE GRADENS DRIVE
GERMANTOWN, TN 38138
Phone number: 731-855-1053
Copy
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