TIMOTHY D PROVENCE

NASHVILLE, TN
NPI1982601829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: TN  DS000004607)
Enumeration Date2005-07-07
Last Update Date2007-07-08
Business Address
Dr. TIMOTHY D PROVENCE DDS
207 23RD AVE N
NASHVILLE, TN 37203-1501
Phone number: 615-320-1392
Mailing Address
Dr. TIMOTHY D PROVENCE DDS
207 23RD AVE N
NASHVILLE, TN 37203-1501
Phone number: 615-320-1392
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