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1558322321
RUSSELL KEITH KIRK
LEBANON, TN
NPI
1558322321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: TN 7103)
Enumeration Date
2006-03-31
Last Update Date
2011-05-03
Business Address
-- RUSSELL KEITH KIRK D.D.S.
1409 W BADDOUR PKWY SUITE #F
LEBANON, TN 37087-2513
Phone number: 615-453-7800
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Mailing Address
-- RUSSELL KEITH KIRK D.D.S.
5594 FRANKLIN RD
LEBANON, TN 37090-8101
Phone number: 615-453-7800
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