Individual
LEIF SVEN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1425 MCARTHUR ST, MANCHESTER, TN 37355-2517
(931) 728-0469
Mailing address
1425 MCARTHUR ST, MANCHESTER, TN 37355-2517
(931) 728-0469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8514
TN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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