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1992548846
LANE SLACK
KNOXVILLE, TN
NPI
1992548846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN 12512)
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
Dr. LANE SLACK DDS
2719 KINGSTON PIKE
KNOXVILLE, TN 37919-4620
Phone number: 865-524-1265
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Mailing Address
Dr. LANE SLACK DDS
438 MCNABB AVE
KNOXVILLE, TN 37920-3043
Phone number: 615-489-9021
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