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Organization
HENDERSONVILLE DENTAL SPA FOR KIDS PLLC
Active
Organization
HENDERSONVILLE DENTAL SPA FOR KIDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE H HARRISON JR. DDS (GENERAL DENTIST)
(615) 991-5903
Entity
Organization
Contact information
Practice address
264 NEW SHACKLE ISLAND RD STE 105B, HENDERSONVILLE, TN 37075-2482
(615) 991-5903
(615) 991-5199
Mailing address
264 NEW SHACKLE ISLAND RD STE 105B, HENDERSONVILLE, TN 37075-2482
(615) 991-5903
(615) 991-5199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8737
TN
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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