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1386209849
SOUTHEASTERN DENTAL PLLC
MADISON, TN
NPI
1386209849
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Entity Type
Organization
Authorized Contact
VICKIE J METCALF
Practice Administrator
615-568-3258
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-05-09
Last Update Date
2019-05-09
Business Address
SOUTHEASTERN DENTAL PLLC
117 GALLATIN PIKE N
MADISON, TN 37115-3701
Phone number: 615-868-6177
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Mailing Address
SOUTHEASTERN DENTAL PLLC
117 GALLATIN PIKE N
MADISON, TN 37115-3701
Phone number: 615-868-6177
Copy
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