RUSSELL KEITH KIRK

LEBANON, TN
NPI1558322321
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: TN  7103)
Enumeration Date2006-03-31
Last Update Date2011-05-03
Business Address
RUSSELL KEITH KIRK D.D.S.
1409 W BADDOUR PKWY SUITE #F
LEBANON, TN 37087-2513
Phone number: 615-453-7800
Mailing Address
RUSSELL KEITH KIRK D.D.S.
5594 FRANKLIN RD
LEBANON, TN 37090-8101
Phone number: 615-453-7800
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