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1427031947
OTTO W SLATER
MARYVILLE, TN
NPI
1427031947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: TN 7722)
Enumeration Date
2005-11-29
Last Update Date
2020-03-30
Business Address
DR. OTTO W SLATER DDS
205 SOUTHDOWNE DR
MARYVILLE, TN 37801-3747
Phone number: 865-381-8867
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Mailing Address
DR. OTTO W SLATER DDS
205 SOUTHDOWNE DR
MARYVILLE, TN 37801-3747
Phone number: 865-381-8867
Copy
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