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1316959737
TED A. BEAZLEY
GOODLETTSVILLE, TN
NPI
1316959737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: TN DS0000004638)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
DR. TED A. BEAZLEY D.D.S.
318 NORTHCREEK BLVD SUITE 400
GOODLETTSVILLE, TN 37072-1934
Phone number: 615-239-4000
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Mailing Address
DR. TED A. BEAZLEY D.D.S.
318 NORTHCREEK BLVD SUITE 400
GOODLETTSVILLE, TN 37072-1934
Phone number: 615-239-4000
Copy
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