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Organization
TWIN LAKES DENTAL CARE PLLC
Active
Organization
TWIN LAKES DENTAL CARE PLLC
Active
Other names
Twin Lakes Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT STEPHEN BOH DMD (PRESIDENT)
(270) 839-6608
Entity
Organization
Contact information
Practice address
11315 LEBANON RD, MOUNT JULIET, TN 37122
(270) 839-6608
Mailing address
3127 LONG BLVD APT 308, NASHVILLE, TN 37203-2077
(270) 839-6608
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10219
TN
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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