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1477244176
LOGAN JOE SMITH
TULLAHOMA, TN
NPI
1477244176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN 12192)
Enumeration Date
2023-05-15
Last Update Date
2023-05-23
Business Address
Dr. LOGAN JOE SMITH DDS
208 N WASHINGTON ST
TULLAHOMA, TN 37388-3649
Phone number: 931-455-3917
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Mailing Address
Dr. LOGAN JOE SMITH DDS
4 IVY DR
FAYETTEVILLE, TN 37334-7287
Phone number: 931-644-5764
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