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1811038615
CONRAD RENALDO DOUGLAS
NASHVILLE, TN
NPI
1811038615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN DS0000004460)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Dr. CONRAD RENALDO DOUGLAS DDS
2679 MURFREESBORO PIKE
NASHVILLE, TN 37217-3505
Phone number: 615-360-3151
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Mailing Address
Dr. CONRAD RENALDO DOUGLAS DDS
329 YORKSHIRE CIR
NASHVILLE, TN 37211-7134
Phone number: 615-331-4713
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