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1902414493
CHAZ M AINSWORTH
KINGSPORT, TN
NPI
1902414493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: TN 11386)
Enumeration Date
2020-07-21
Last Update Date
2020-07-21
Business Address
DR. CHAZ M AINSWORTH DDS
613 WATAUGA ST
KINGSPORT, TN 37660-4429
Phone number: 423-247-7741
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Mailing Address
DR. CHAZ M AINSWORTH DDS
613 WATAUGA ST
KINGSPORT, TN 37660-4429
Phone number: 423-247-7741
Copy
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