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1578682480
JUSTIN LEE DOUGLAS
BRENTWOOD, TN
NPI
1578682480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TN 4418)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Dr. JUSTIN LEE DOUGLAS DDS
210 GRANNY WHITE PIKE
BRENTWOOD, TN 37027-5744
Phone number: 615-221-9000
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Mailing Address
Dr. JUSTIN LEE DOUGLAS DDS
210 GRANNY WHITE PIKE
BRENTWOOD, TN 37027-5744
Phone number: 615-221-9000
Copy
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