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1255414140
BRIAN DANIEL FANN
COLUMBIA, TN
NPI
1255414140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: TN 0000007881)
Enumeration Date
2006-10-23
Last Update Date
2016-05-24
Business Address
BRIAN DANIEL FANN DDS
1605 NASHVILLE HWY SUITE 100
COLUMBIA, TN 38401-2071
Phone number: 931-381-6880
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Mailing Address
BRIAN DANIEL FANN DDS
1605 NASHVILLE HWY SUITE 100
COLUMBIA, TN 38401-2071
Phone number: 931-381-6880
Copy
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