# TWIN LAKES DENTAL CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Twin Lakes Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952891798
- **Authorized official:** DR. ROBERT STEPHEN BOH DMD (PRESIDENT)
- **Authorized official phone:** (270) 839-6608

## Contact information

- **Practice address:** 11315 LEBANON RD, MOUNT JULIET, TN 37122
- **Practice address phone:** (270) 839-6608
- **Mailing address:** 3127 LONG BLVD APT 308, NASHVILLE, TN 37203-2077
- **Mailing address phone:** (270) 839-6608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 10219 | TN | Yes |

## Other

- **Enumeration date:** 05/17/2018
- **Last updated:** 05/17/2018