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1467739441
CLARKSVILLE DENTAL SPA, PLLC
CLARKSVILLE, TN
NPI
1467739441
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Entity Type
Organization
Authorized Contact
LANCE H HARRISON
Dentist/Owner
931-647-8437
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN 8737)
Enumeration Date
2011-11-04
Last Update Date
2013-08-29
Business Address
CLARKSVILLE DENTAL SPA, PLLC
800 WEATHERLY DR STE. 103-B
CLARKSVILLE, TN 37043-8957
Phone number: 931-647-8437
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Mailing Address
CLARKSVILLE DENTAL SPA, PLLC
800 WEATHERLY DR STE. 103-B
CLARKSVILLE, TN 37043-8957
Phone number: 931-647-8437
Copy
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