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Individual

DR. SAMUEL ISAAC GENTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
225 DUNBAR CAVE RD STE B, CLARKSVILLE, TN 37043-8846
(931) 552-5332
(931) 552-6348
Mailing address
225 DUNBAR CAVE RD STE B, CLARKSVILLE, TN 37043-8846
(931) 552-5332
(931) 552-6348

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8931
TN

Other

Enumeration date
12/30/2008
Last updated
12/30/2008
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