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1356076152
ELITE DENTAL CARE JACKSON
JACKSON, TN
NPI
1356076152
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Entity Type
Organization
Authorized Contact
TOM LANNOM
Chief Operating Officer
731-855-1053
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
ELITE DENTAL CARE JACKSON
47 N STAR DR
JACKSON, TN 38305-6647
Phone number: 731-664-9556
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Mailing Address
ELITE DENTAL CARE JACKSON
2066 US HIGHWAY 45 BYP S
TRENTON, TN 38382-3507
Phone number: 731-855-1053
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