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1205045275
ELIZABETH M WAGGENER
SOMERVILLE, TN
NPI
1205045275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TN 7136)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. ELIZABETH M WAGGENER D.D.S.
305 LAKE DR
SOMERVILLE, TN 38068-9718
Phone number: 901-465-2714
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Mailing Address
Dr. ELIZABETH M WAGGENER D.D.S.
8845 OAK HEDGE CV
CORDOVA, TN 38018-6957
Phone number: 901-758-2537
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