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1417541038
WILLIAM JOHN AXTELL
LEBANON, TN
NPI
1417541038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN 12128)
Enumeration Date
2021-02-24
Last Update Date
2023-04-26
Business Address
WILLIAM JOHN AXTELL
201 SIGNATURE PL
LEBANON, TN 37087-3376
Phone number: 270-977-3112
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Mailing Address
WILLIAM JOHN AXTELL
500 LAKETOWER DR UNIT 40
LEXINGTON, KY 40502-2677
Phone number: 270-977-3112
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