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1861433096
JONATHAN LANE PUTNAM
MOORESVILLE, NC
NPI
1861433096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 6713)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
-- JONATHAN LANE PUTNAM DDS
150 FAIRVIEW RD SUITE 135
MOORESVILLE, NC 28117-9500
Phone number: 704-799-3247
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Mailing Address
-- JONATHAN LANE PUTNAM DDS
150 FAIRVIEW RD SUITE 135
MOORESVILLE, NC 28117-9500
Phone number: 704-799-3247
Copy
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