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1154312437
PHILLIP WAYNE HEAD
COLUMBIA, TN
NPI
1154312437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: TN DS3913)
Enumeration Date
2005-11-04
Last Update Date
2007-07-08
Business Address
-- PHILLIP WAYNE HEAD DDS CAGS
1324 TROTWOOD AVE
COLUMBIA, TN 38401-4750
Phone number: 931-388-5627
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Mailing Address
-- PHILLIP WAYNE HEAD DDS CAGS
1324 TROTWOOD AVE
COLUMBIA, TN 38401-4750
Phone number: 931-388-5627
Copy
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