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1659383412
KEN ROBERTSON
BRENTWOOD, TN
NPI
1659383412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: TN DS0004544)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
KEN ROBERTSON DMD
5409 MARYLAND WAY SUITE 210
BRENTWOOD, TN 37027-5037
Phone number: 615-371-8009
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Mailing Address
KEN ROBERTSON DMD
5409 MARYLAND WAY SUITE 210
BRENTWOOD, TN 37027-5037
Phone number: 615-371-8009
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