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1861417651
LARRY HEATH GILLENWATER
KINGSPORT, TN
NPI
1861417651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN DS0000002549)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
-- LARRY HEATH GILLENWATER DDS
1335 E CENTER ST
KINGSPORT, TN 37664-2489
Phone number: 423-247-5125
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Mailing Address
-- LARRY HEATH GILLENWATER DDS
1335 E CENTER ST
KINGSPORT, TN 37664-2489
Phone number: 423-247-5125
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