EDWARD LEE BEAVERS

TULLAHOMA, TN
NPI1194933028
Professional NameEDWARD LEE BEAVERS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TN  3926)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
-- EDWARD LEE BEAVERS DDS
603 NW ATLANTIC ST
TULLAHOMA, TN 37388-3536
Phone number: 931-455-3501
Mailing Address
-- EDWARD LEE BEAVERS DDS
603 NW ATLANTIC ST
TULLAHOMA, TN 37388-3536
Phone number: 931-455-3501
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