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1184844144
PHILIP A. FONTENOT
HERMITAGE, TN
NPI
1184844144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TN TNDS3090)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. PHILIP A. FONTENOT DDS
4733 ANDREW JACKSON PKWY SUITE 1-A
HERMITAGE, TN 37076-1365
Phone number: 615-885-0136
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Mailing Address
Dr. PHILIP A. FONTENOT DDS
4733 ANDREW JACKSON PKWY SUITE 1-A
HERMITAGE, TN 37076-1365
Phone number: 615-885-0136
Copy
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