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Organization
SIE INVESTMENT GROUP LLC
Active
Organization
SIE INVESTMENT GROUP LLC
Active
Other names
Three Rivers Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN CONNOLLY D.D.S. (PRESIDENT)
(615) 907-3456
Entity
Organization
Contact information
Practice address
2395 NEW SALEM HWY, SUITE L, MURFREESBORO, TN 37128-5254
(615) 907-3456
(615) 907-3848
Mailing address
2395 NEW SALEM HWY, SUITE L, MURFREESBORO, TN 37128-5254
(615) 907-3456
(615) 907-3848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8779
TN
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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