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1750010237
TANNER WELBY DICE
SOUTHLAKE, TX
NPI
1750010237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 38422)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
Dr. TANNER WELBY DICE DMD
1845 E SOUTHLAKE BLVD # 144
SOUTHLAKE, TX 76092-6501
Phone number: 817-554-1122
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Mailing Address
Dr. TANNER WELBY DICE DMD
9915 SHINING WILLOW DR APT 110
LOUISVILLE, KY 40241-3156
Phone number: 859-432-0047
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