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1306357447
COUNTRY CREEK DENTAL PLLC
ALCOA, TN
NPI
1306357447
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Entity Type
Organization
Authorized Contact
NATHAN LA MONICA
Dentist
775-291-0075
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: TN 10031)
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
COUNTRY CREEK DENTAL PLLC
207 KINGS CT
ALCOA, TN 37701-1939
Phone number: 865-983-6361
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Mailing Address
COUNTRY CREEK DENTAL PLLC
7605 GILMORE LN
CORRYTON, TN 37721-4128
Phone number: 775-291-0075
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