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1316102296
JUSTIN NEIL TEBBENKAMP
BLACKSBURG, VA
NPI
1316102296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401412219)
Enumeration Date
2008-07-21
Last Update Date
2010-10-05
Business Address
Dr. JUSTIN NEIL TEBBENKAMP DDS
1305 N MAIN ST
BLACKSBURG, VA 24060-3129
Phone number: 540-961-3279
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Mailing Address
Dr. JUSTIN NEIL TEBBENKAMP DDS
1305 N MAIN ST
BLACKSBURG, VA 24060-3129
Phone number: 540-961-3279
Copy
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