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1982601829
TIMOTHY D PROVENCE
NASHVILLE, TN
NPI
1982601829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: TN DS000004607)
Enumeration Date
2005-07-07
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY D PROVENCE DDS
207 23RD AVE N
NASHVILLE, TN 37203-1501
Phone number: 615-320-1392
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Mailing Address
Dr. TIMOTHY D PROVENCE DDS
207 23RD AVE N
NASHVILLE, TN 37203-1501
Phone number: 615-320-1392
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