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1134718869
THE PRACTICE, PLLC
BRENTWOOD, TN
NPI
1134718869
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Entity Type
Organization
Authorized Contact
MATTHEW KASIAR
Owner
618-841-0971
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2021-01-17
Last Update Date
2021-01-17
Business Address
THE PRACTICE, PLLC
1738 FONTANELLA DR
BRENTWOOD, TN 37027-2502
Phone number: 618-841-0971
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Mailing Address
THE PRACTICE, PLLC
1738 FONTANELLA DR
BRENTWOOD, TN 37027-2502
Phone number:
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