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1568021285
SOUTHEASTERN DENTAL OF MT JULIET PLLC
MT JULIET, TN
NPI
1568021285
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Entity Type
Organization
Authorized Contact
VICKIE METCALF
Practice Administrator
615-568-3258
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-06-06
Last Update Date
2019-06-06
Business Address
SOUTHEASTERN DENTAL OF MT JULIET PLLC
631 S MOUNT JULIET RD
MT JULIET, TN 37122-6319
Phone number: 615-754-6677
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Mailing Address
SOUTHEASTERN DENTAL OF MT JULIET PLLC
631 S MOUNT JULIET RD
MT JULIET, TN 37122-6319
Phone number: 615-754-6677
Copy
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