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1215243795
ETOWAH DENTAL
ETOWAH, TN
NPI
1215243795
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Entity Type
Organization
Authorized Contact
RAYMOND L PATE
CEO
423-333-5656
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2010-08-23
Last Update Date
2010-08-23
Business Address
ETOWAH DENTAL
620 TENNESSEE AVE
ETOWAH, TN 37331-1304
Phone number: 423-623-7315
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Mailing Address
ETOWAH DENTAL
620 TENNESSEE AVE
ETOWAH, TN 37331-1304
Phone number: 423-623-7315
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