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Organization
BOYCE RANDALL LEDUKE DDS
Active
Organization
BOYCE RANDALL LEDUKE DDS
Active
Other names
Smiles by LeDuke
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE MARIE BATH (PATIENT ACCOUNT ADMINISTRATOR)
(731) 885-0497
Entity
Organization
Contact information
Practice address
214 W CHURCH ST, UNION CITY, TN 38261-3816
(731) 885-0497
(731) 885-0244
Mailing address
214 W CHURCH ST, UNION CITY, TN 38261
(731) 885-0497
(731) 885-0244
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS3604
TN
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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