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1477538809
PAUL H BACON
CLEVELAND, TN
NPI
1477538809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: TN 621069734)
Enumeration Date
2005-12-08
Last Update Date
2007-07-08
Business Address
Dr. PAUL H BACON DDS
33 MOUSE CREEK RD NW
CLEVELAND, TN 37312-4840
Phone number: 423-479-9395
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Mailing Address
Dr. PAUL H BACON DDS
33 MOUSE CREEK RD NW
CLEVELAND, TN 37312-4840
Phone number: 423-479-9395
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